Individual
ALEXANDRA JEAN BODNARIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1517 HAMPTON ST, COLUMBIA, SC 29201-2924
(803) 434-4300
Mailing address
325 MISSION RD, WEST COLUMBIA, SC 29170-2710
(586) 718-6446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11905
SC
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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