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Individual

TINA HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
145 RAYMOND RD, JACKSON, MS 39204-3802
(601) 362-5321
Mailing address
500 NORTHPOINTE PKWY APT 113, JACKSON, MS 39211-2395
(601) 559-9266

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M10219
MS

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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