KELLY JOHANNA BODU

AUSTIN, TX
NPI1760998041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: TX  203143)
Enumeration Date2017-12-21
Last Update Date2020-11-18
Business Address
KELLY JOHANNA BODU LMFT
1717 W 10TH ST
AUSTIN, TX 78703-3907
Phone number: 512-472-4357
Mailing Address
KELLY JOHANNA BODU LMFT
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357