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General NPI Number Information
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NPI Number | 1750783221
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Entity Type | Organization
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Legal Business Name | ELODIE ANDREWS, LCSW, LLC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 9378 OLIVE BLVD STE 106
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City | OLIVETTE
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State | MO
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Zip | 63132-3222
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Country | US
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Telephone | 314-933-6587
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Fax | 888-975-7670
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Provider Business Mailing Address
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Address Line | 9378 OLIVE BLVD STE 106
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City | OLIVETTE
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State | MO
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Zip | 63132-3222
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Country | US
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Telephone | 314-933-6587
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Fax | 888-975-7670
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELODIE ANDREWS
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Credential | LCSW
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Telephone | 314-933-6587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2012028655
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License Number State | MO
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