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HEATHER NICOLE BODIE LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1477195899

Individual Registrant:
 HEATHER NICOLE BODIE LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
49 WHITEHALL AVE  MYSTIC, CT 06355-1966 US
Tel: 860-961-5702  Fax: 860-415-9370

Contact information for business:
11 PEVETTY DR  EAST HAVEN, CT 06512-4816 US
Tel: 203-927-7364  Fax: --

Registration Information:
NPI: 1477195899
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT009787

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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