Individual
MR. JOSHUA CHARLES BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
300 W MAIN ST STE 151, BOISE, ID 83702-7728
(208) 921-7190
Mailing address
5647 W LUCKY DR, BOISE, ID 83703-3141
(208) 921-7190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-26553
ID
Other
Enumeration date
08/08/2006
Last updated
06/04/2023
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