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Individual
MRS. MINDY LYNNE HODGE
Active
Individual
MRS. MINDY LYNNE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LMSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-02017
MI
104100000X
Social Worker
6851101698
MI
1041C0700X
Clinical Social Worker
Primary
6801120857
MI
Other
Enumeration date
10/25/2018
Last updated
09/18/2025
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