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Organization
JEANNINE BODNER, LCSW, PLLC
Active
Organization
JEANNINE BODNER, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE BODNER LCSW (OWNER)
(704) 995-7686
Entity
Organization
Contact information
Practice address
120-D SOUTH VILLAGE LANE, DAVIDSON, NC 28036-8877
(704) 995-7686
(704) 659-4010
Mailing address
120-D SOUTH VILLAGE LANE, DAVIDSON, NC 28036-8877
(704) 995-7686
(704) 659-4010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009794
NC
Other
Enumeration date
03/19/2016
Last updated
10/03/2018
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