Individual
ROBERT J BODZIOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
8303 OFFICE PARK DRIVE, B, DOUGLASVILLE, GA 30134
(678) 838-8333
Mailing address
8303 B OFFICE PARK DRIVE, DOUGLASVILLE, GA 30134
(678) 838-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005975
GA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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