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Individual

ROBERTA HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 468-2265
Mailing address
2800 EASTERN AVENUE, DAVENPORT, IA 52803
(563) 468-2265

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008293
IA

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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