Individual
JOSEPH JEFFERY BODENMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1202 CAMP ST, NEW ORLEANS, LA 70130-4204
(504) 616-7119
(504) 598-2771
Mailing address
1202 CAMP ST, NEW ORLEANS, LA 70130-4204
(504) 616-7119
(504) 598-2771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2423
LA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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