Individual
AMY HODGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 912-1340
Mailing address
1715 SE 5TH ST, GRESHAM, OR 97080
(503) 752-3972
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
07/07/2014
Last updated
07/21/2022
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