Individual
STACY YVONNE HODGKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 572-1327
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(301) 527-1327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC20702
MD
103TC0700X
Clinical Psychologist
Primary
PSY1000900
DC
Other
Enumeration date
08/24/2007
Last updated
01/30/2014
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