Individual
MR. C. SONNY HODGDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LAT
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901
(307) 352-6677
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT-160
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-543
WY
Other
Enumeration date
12/11/2006
Last updated
12/08/2015
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