Individual
MR. ROBERT EDWAYNE BODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8137 LOVE ROAD, BENZONIA, MI 49616
(231) 882-4820
Mailing address
PO BOX 142, BENZONIA, MI 49616-0142
(231) 882-4820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401003816
MI
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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