Individual
MEGAN BODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 LAKEWOOD RD, TOMS RIVER, NJ 08753-2744
(848) 261-9070
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(848) 261-9070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
10/03/2022
Last updated
10/03/2022
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