Individual
CHARLES E. HODGES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CSOTP
Contact information
Practice address
269 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9337
(804) 868-0070
Mailing address
1671 WESTOVER AVE, PETERSBURG, VA 23805-2819
(804) 868-0070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003862
VA
Other
Enumeration date
10/28/2006
Last updated
05/23/2024
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