Individual
MR. DAVID AMBROSE HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1226 E MADISON PARK, #2, CHICAGO, IL 60615-2959
(708) 351-3137
Mailing address
1226 E MADISON PARK APT 2, CHICAGO, IL 60615-2959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.003641
IL
Other
Enumeration date
02/08/2007
Last updated
01/20/2022
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