Amanda Ashley Bodendorf, MSW

NPI #1225693732 in Ronkonkoma, New York

Provider Information

NPI Number: 1225693732
Entity Type: Individual
Name: Amanda Ashley Bodendorf, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: 939 JOHNSON AVE
City: Ronkonkoma
State: New York
ZIP Code: 11779-6066
Phone: (631) 471-7242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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