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Individual

TAMMY L. BODINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMHC

Contact information

Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3636
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3636

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7915570-6004
UT

Other

Enumeration date
11/02/2010
Last updated
04/20/2015
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