Individual
AMANDA HODAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10216 PERIMETER PKWY STE C, CHARLOTTE, NC 28216-2462
(866) 434-3255
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C010915
NC
1041C0700X
Clinical Social Worker
Primary
P009831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C010915
NC LICENSE #
NC
Enumeration date
06/26/2015
Last updated
10/27/2021
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