Individual
BRIANNA R BODARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
311 N 2ND AVE, ALPENA, MI 49707-2865
(989) 340-1466
(989) 538-8790
Mailing address
PO BOX 586, ALPENA, MI 49707-0586
(989) 340-1466
(989) 538-8790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801108196
LIMITED LICENSED MASTER SOCIAL WORK
MI
Enumeration date
10/04/2020
Last updated
10/04/2020
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