NPI 1508909532

Jamie Lorraine Bodenhafer, LMSW

Practitioner Clinical Social Worker Lathrup Village, MI

Practice location

Address: 17657 Avilla Blvd, Lathrup Village, MI 48076-2732
Phone: (248) 259-3527
Fax: (248) 557-2008

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801087081 (MI)

Other Social Worker providers in Michigan →

Registry record

NPI: 1508909532
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2007
Record last updated: 23 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.