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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CHRISTINE ANNA BODENDIECK, MA, LCSW, LPC

Active Sole Proprietor

MRS. CHRISTINE ANNA BODENDIECK, MA, LCSW, LPC is a Case Management Agency healthcare provider located in KIRKWOOD, Missouri. NPI 1427081207 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · KIRKWOOD, MO

Registration Details

NPI Number
1427081207
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2006 (20.12960400736 yrs)
Last Updated
Jul 8, 2007
License
001500 (MO)
Sole Proprietor
Yes

Practice Information

Address
129 IDLEWILD ST.
KIRKWOOD, MO, 63122
Browse MO providers · Browse ZIP 63122
Phone
3147875100
Fax
3147875100
Primary Specialty
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.