Individual
AMY W BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 PARK RD, ROCHESTER, IN 46975-3328
(574) 223-1600
Mailing address
1818 PARK RD, ROCHESTER, IN 46975-3328
(574) 223-1600
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1536676
IN
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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