MS. Jacqueline Bodden
MS. Jacqueline Bodden is an Early Intervention Provider Agency in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
1874 Pelham Pkwy S Apt 6NBronx, NY 10461-3750
Phone: (917) 517-2629
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 561048051 (NY) |
|---|
Record details
| NPI number | 1043575202 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2012 |
| Last updated in NPPES | July 12, 2012 |
| Mailing address | 1874 Pelham Pkwy S Apt 6n, Bronx, NY 10461-3750 |
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