Individual
MS. EILEEN GRACE HODIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LEAP
Contact information
Practice address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD, FORT BRAGG, NC 28310-0001
(910) 907-6246
Mailing address
104 DRAGON FLY CT, SOUTHERN PINES, NC 28387-6476
(910) 692-4629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002780
NC
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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