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Individual

MR. MARK A BODWALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC LMFT

Contact information

Practice address
6922 NEWMAN RD, CLIFTON, VA 20112-1613
(703) 830-8864
(703) 830-8864
Mailing address
6922 NEWMAN RD, CLIFTON, VA 20124-1613
(703) 830-8864
(703) 830-8864

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002569
VA
106H00000X
Marriage & Family Therapist
Primary
0717000297
VA

Other

Enumeration date
09/21/2006
Last updated
09/11/2025
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