Individual
ADAM BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 W CHURCH ST STE 318, NEWARK, OH 43055-5050
(740) 281-1777
(740) 687-6677
Mailing address
126 E IRONWOOD CIR, MEQUON, WI 53092-5973
(262) 241-8909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
05/08/2024
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