Individual
MISS DORY BODON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EDIF. SECTOR EL MEDIO, RES. LUIS LLORENS TORRES, SAN JUAN, PR 00913
(787) 268-1675
Mailing address
P.O. BOX 30, GUAYNABO, PR 00970
(787) 603-6006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4084639
PR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/04/2007
Last updated
07/19/2011
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