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Individual
HEATH ALLEN HODGE
Active
Individual
HEATH ALLEN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
80489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093880494
—
CA
Enumeration date
11/21/2006
Last updated
12/05/2018
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