Individual
CHENEL HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12318 BOYDTON PLANK RD, DINWIDDIE, VA 23841-2454
(804) 307-2504
Mailing address
12318 BOYDTON PLANK RD, DINWIDDIE, VA 23841-2454
(804) 307-2504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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