Individual
JILL HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11175 S REDWOOD RD, SOUTH JORDAN, UT 84095-8208
(801) 484-9911
Mailing address
11175 S REDWOOD RD, SOUTH JORDAN, UT 84095-8208
(801) 484-9911
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
ZC247066B
UT
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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