Jamie L Bodenhafer LLC
NPI #1104129782 in Lathrup Village, Michigan
Provider Information
- NPI Number
- 1104129782
- Entity Type
- Organization
- Organization Name
- Jamie L Bodenhafer LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 21, 2010
- Last Updated
- Dec 21, 2010
Practice Location
- Address
- 17657 AVILLA BLVD
- City
- Lathrup Village
- State
- Michigan
- ZIP Code
- 48076-2732
- Phone
- (248) 259-3527
Authorized Official
- Name
- JAMIE LORRAINE BODENHAFER, L.M.S.W.
- Title
- CLINCAL SOCIAL WORKER/ADMINISTRATOR
- Phone
- (248) 259-3527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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