Individual
MRS. AMY ELIZABETH BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 290-9040
Mailing address
166 MAIN ST, MATAWAN, NJ 07747-3104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06320200
NJ
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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