Debrodie, Mary Beth
Debrodie, Mary Beth is an sole proprietor health care provider with primary practice located at 601 W Nifong, Bldg. 5A , Columbia MO 65203. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Debrodie, Mary Beth can be contacted via phone (573) 220-8366.Contact Information
Primary practice address
601 W Nifong, Bldg. 5A
Columbia MO 65203
Phone: (573) 220-8366
Fax: (573) 592-8929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2003018483 | Missouri |
Profile Details
| NPI number | 1497731939 |
|---|---|
| LBN Legal business name | Debrodie, Mary Beth |
| Credentials | LCSW, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Sep 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497731939 | NPPES |
| Missouri | MEDICAID | 498394238 |
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