Individual
TINA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 EAST MAIN, HART, MI 49420
(231) 873-2148
Mailing address
701 E MAIN ST, HART, MI 49420-1168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417955477
—
MI
Enumeration date
12/03/2018
Last updated
12/03/2018
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