Individual
MARY BODZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2113 MIDDLE ST STE 301, SULLIVANS ISLAND, SC 29482-9625
(843) 885-8087
Mailing address
2113 MIDDLE ST STE 301, SULLIVANS ISLAND, SC 29482-9625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1665
SC
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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