Individual
MS. KATHERINE ANN BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
96 HARLOW ST, #222, BANGOR, ME 04401-4954
(207) 989-8955
(207) 989-5759
Mailing address
96 HARLOW ST, #222, BANGOR, ME 04401-4954
(207) 989-8955
(207) 989-5759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC1681
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003813
ANTHEM BCBS
ME
01
—
7556188
AETNA
—
Enumeration date
01/30/2007
Last updated
07/08/2007
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