Individual
MICHELLE L BOODRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
W8040 RANDALLWOOD LN, FOND DU LAC, WI 54937-9451
(920) 979-7855
Mailing address
W8040 RANDALLWOOD LN, FOND DU LAC, WI 54937-9451
(920) 979-7855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5821--125
WI
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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