Individual
ANGELA BODWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 NE DAVIS ST, LUTHERAN COMMUNITY SERVICES NORTHWEST, MCMINNVILLE, OR 97128-4716
(503) 472-4020
Mailing address
617 NE DAVIS ST, MCMINNVILLE, OR 97128-4716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
03/18/2017
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