Individual
JESSICA LAUREN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
(501) 660-6838
Mailing address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
(501) 660-6838
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
06/05/2009
Last updated
03/01/2023
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