Individual
MR. JOSEPH HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 RAMSEY ST, MENTAL HEALTH SERVICE LINE, FAY, NC 28301
(910) 482-5194
Mailing address
3944 WATLING CT, FAYETTEVILLE, NC 28311-6911
(910) 480-9112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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