MALCOLM SHAQUILLE BODISON

ANCHORAGE, AK
NPI1366040784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-16
Last Update Date2020-10-16
Business Address
MALCOLM SHAQUILLE BODISON
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504-2098
Phone number: 190-727-4828
Mailing Address
MALCOLM SHAQUILLE BODISON
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504-2098
Phone number:
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