Individual
LISA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1078
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904006201
VA
Other
Enumeration date
03/20/2006
Last updated
07/09/2007
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