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DEBRA LEONA HODGE

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1396107181

Individual Registrant:
 DEBRA LEONA HODGE 
Gender: F
Sole Proprietor

Location and contact information for practice:
840 CENTER AVE APT 86  HOLLY HILL, FL 32117-8008 US
Tel: 386-333-0117  Fax: --

Contact information for business:
840 CENTER AVE APT 86  HOLLY HILL, FL 32117-8008 US
Tel: 386-333-0117  Fax: --

Registration Information:
NPI: 1396107181
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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