Organization
ANODYNE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KITTIE ANN ROGERS LCSW (LCSW)
(573) 529-0732
Entity
Organization
Contact information
Practice address
1007 N COLLEGE AVE, STE #1, COLUMBIA, MO 65201-4794
(573) 529-0732
Mailing address
504 N WILLIAM ST, COLUMBIA, MO 65201-5654
(573) 529-0732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002690
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497810218
—
MO
Enumeration date
11/17/2011
Last updated
11/17/2011
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