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Individual

MS. MARYANN BODNAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, CAP,CSAT, CPTT

Contact information

Practice address
611 W BAY ST, STE 1G, TAMPA, FL 33606
(515) 708-5570
Mailing address
8424 RIDGEBROOK CIR, ODESSA, FL 33556-3132
(515) 708-5570

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH7778
FL

Other

Enumeration date
09/03/2021
Last updated
09/03/2021
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