Most Relevant Information
Provider Data
| NPI Number: | 1003826405 |
| Provider Name: | JOSHUA CHARLES BODE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LMSW-26553 |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 06/04/2023 |
Provider Practice Location
300 W MAIN ST STE 151
BOISE
ID
837027728
Practice Location Phone/Fax
| Phone: | 2089217190 |
| Fax: |
Provider Mailing Location
5647 W LUCKY DR
BOISE
ID
837033141
Provider Mailing Phone/Fax
| Phone: | 2089217190 |
| Fax: |