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Individual
JOSEPH LOUIS BODO JR.
Active
Individual
JOSEPH LOUIS BODO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC,CSAC,ICS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3232-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39380000
—
WI
Enumeration date
02/12/2007
Last updated
07/08/2007
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