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Organization

DONNA BODONY MSW, LICSW, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNA LEE BODONY LICSW (PRESIDENT)
(781) 258-7311
Entity
Organization

Contact information

Practice address
2 JOHN WILSON LN, LEXINGTON, MA 02421-6033
(781) 258-7311
(781) 861-7773
Mailing address
2 JOHN WILSON LN, LEXINGTON, MA 02421-6033
(781) 258-7311
(781) 861-7773

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1024434
MA

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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