Individual
DR. MAURITA MARICE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, LPC
Contact information
Practice address
4637 RAVENWOOD LOOP, UNION CITY, GA 30291-6037
(770) 306-6127
(770) 995-1959
Mailing address
4637 RAVENWOOD LOOP, UNION CITY, GA 30291-6037
(770) 306-6127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006683
GA
Other
Enumeration date
02/06/2012
Last updated
08/17/2022
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