Individual
MRS. KEENA D BODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., LPC, NCC
Contact information
Practice address
63 SPRINGS STATION DR., FRANKLIN SPRINGS, GA 30639
(706) 246-0733
(706) 246-0722
Mailing address
PO BOX 157, FRANKLIN SPRINGS, GA 30639-0157
(706) 246-0733
(706) 246-0722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007171
GA
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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