Individual
SADIE BODENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
607 W 7TH ST, APPLETON, WI 54911-5923
(920) 470-0494
Mailing address
1010 STROHMEYER DR, NEENAH, WI 54956-1980
(920) 722-2345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16406-132
WI
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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