Individual
MARYELLEN E HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1501 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6611
(405) 605-2085
Mailing address
8112 S BLACKWELDER AVE, OKLAHOMA CITY, OK 73159-5526
(405) 204-2050
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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