Individual
BONNIE BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
720 PIKE ST STE 2, LEMONT, PA 16851-9085
(814) 965-7607
Mailing address
PO BOX 1122, LEMONT, PA 16851-1122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW143723
PA
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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