Individual
VICKY LEE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 N WALKER ST, PRINCETON, WV 24740-2636
(304) 425-2926
(304) 425-7367
Mailing address
1411 N WALKER ST, PRINCETON, WV 24740-2636
(304) 425-2926
(304) 425-7367
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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