Michelle Boodry's National Provider Identifier (NPI) Details
Michelle Boodry, LPC
NPI: 1104604610
Enumeration Date: 2023-09-18
Last updated: 2023-09-18
Sole Proprietor: YES
Status: active
Postal Address: W8040 RANDALLWOOD LN, FOND DU LAC, WI
Phone: 920-979-7855
Primary Practice Address: W8040 RANDALLWOOD LN, FOND DU LAC, WI
Practice's phone: 920-979-7855