Individual
MRS. DONNA BODONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9 MERIAM ST STE 26, LEXINGTON, MA 02420-5312
(781) 258-7311
(781) 861-7773
Mailing address
2 JOHN WILSON LN, LEXINGTON, MA 02421-6033
(781) 861-1196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1024434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339321
TRICARE
MA
01
—
P10320
BCBS
MA
Enumeration date
02/08/2007
Last updated
03/23/2009
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