Individual
MS. JANESSA ELISE BODZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 N MAIN ST STE 106, BRISTOL, CT 06010-4993
(860) 585-4300
Mailing address
12 FRENCH ST, SEYMOUR, CT 06483-3021
(203) 494-1720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007824
CT
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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