Individual
JESSICA FAITH HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
206 SOUTHWIND PL, MANHATTAN, KS 66503-3131
(785) 236-8623
Mailing address
206 SOUTHWIND PL, MANHATTAN, KS 66503-3131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4212
OK
1041C0700X
Clinical Social Worker
Primary
05761
KS
1041C0700X
Clinical Social Worker
5065
OK
Other
Enumeration date
10/25/2011
Last updated
05/14/2026
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