Individual
DANNA R. BODENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, DSW
Contact information
Practice address
1616 WALNUT ST, SUITE 1610, PHILADELPHIA, PA 19103-5313
(215) 520-5344
Mailing address
1616 WALNUT ST, SUITE 1610, PHILADELPHIA, PA 19103-5313
(215) 520-5344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016319
PA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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