Individual
DOMINQUE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HIGHTOWER TRL, SANDY SPRINGS, GA 30350-6244
(770) 559-0964
Mailing address
916 BROOK VIEW AVE, ATLANTA, GA 30340-3846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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