Individual
MS. LISA A BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.E.
Contact information
Practice address
501 MCKEAN AVE, CHARLEROI, PA 15022-1558
(724) 483-5482
(724) 483-5856
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328834A932537
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
04/01/2008
Last updated
04/01/2008
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