Organization
EMPOWERED BY CHOICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE BODI LPC (OWNER)
(918) 280-9552
Entity
Organization
Contact information
Practice address
212 N MAIN ST, SAND SPRINGS, OK 74063-7645
(918) 280-9552
Mailing address
212 N MAIN ST, SAND SPRINGS, OK 74063-7645
(918) 280-9552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
G080179653
OK
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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