Organization
BODHI EDUCATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HULSTEIN LICSW (OWNER)
(706) 834-0139
Entity
Organization
Contact information
Practice address
5433 JEFFERSON CT, WHITE BEAR TOWNSHIP, MN 55110-5770
(706) 834-0139
Mailing address
5433 JEFFERSON CT, WHITE BEAR TOWNSHIP, MN 55110-5770
(706) 834-0139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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