Individual
JOSEPH LOUIS BODO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC,CSAC,ICS
Contact information
Practice address
171 CHESTNUT ST, PHILLIPS, WI 54555-1313
(715) 339-3048
Mailing address
N7368 UNIVERSAL DR, WINTER, WI 54896-7635
(715) 266-2400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3232-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39380000
—
WI
Enumeration date
02/12/2007
Last updated
07/08/2007
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