MICHAEL BODRERO

PROVIDENCE, UT
NPI1245889682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  10513315-3502)
Enumeration Date2019-09-09
Last Update Date2023-07-31
Business Address
MICHAEL BODRERO LCSW
15 S MAIN ST # B101
PROVIDENCE, UT 84332-9786
Phone number: 435-512-2275
Mailing Address
MICHAEL BODRERO LCSW
15 S MAIN ST # B101
PROVIDENCE, UT 84332-9786
Phone number: 435-512-2275
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