Organization
BODHI PSYCHOTHERAPY AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN RENEE GOLDMAN LCSW-C, LISW-CP (MANAGING MEMBER)
(410) 602-2545
Entity
Organization
Contact information
Practice address
518 S MAIN ST OFC 6, SIMPSONVILLE, SC 29681-3220
(443) 670-7977
(410) 882-1079
Mailing address
PO BOX 10960, BALTIMORE, MD 21234-0960
(410) 882-7967
(410) 882-1079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/28/2019
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