| Bodylife Works, Inc. | |
|
10698 Briarlake Woods Dr San Diego CA 92130-4832 | |
| (317) 313-0620 | |
| Not Available |
| Full Name | Bodylife Works, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10698 Briarlake Woods Dr, San Diego, California |
| Authorized Official Name and Position | Mandy Leonards (OWNER) |
| Authorized Official Contact | 3173130620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodylife Works, Inc. 10698 Briarlake Woods Dr San Diego CA 92130-4832 Ph: (317) 313-0620 | Bodylife Works, Inc. 10698 Briarlake Woods Dr San Diego CA 92130-4832 Ph: (317) 313-0620 |
| NPI Number | 1285366906 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285366906 | NPI | - | NPPES |
| 3400744A | Other | IN | LCSW |
| 99310 | Other | CA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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