Individual
CONNIE MARIE BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3201 N. RANKIN STREET, APPLETON, WI 54911
(920) 209-1070
Mailing address
3201 N. RANKIN STREET, APPLETON, WI 54911
(920) 209-1070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3630-125
WI
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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