Individual
JAYME HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW / LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13801
SC
1041C0700X
Clinical Social Worker
SW9650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101843500
—
FL
Enumeration date
07/10/2014
Last updated
10/15/2024
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