Individual
MRS. SARAH R MODDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
907 QUEENSBRIDGE RD, MANCHESTER, MO 63021-6709
(314) 608-4882
(636) 227-5726
Mailing address
907 QUEENSBRIDGE RD, MANCHESTER, MO 63021-6709
(314) 608-4882
(636) 227-5726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2000172622
MO
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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