Individual
TABITHA HODGES HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
998 E WELL SPRING RD, APT 20P, MIDVALE, UT 84047-5016
(801) 637-3620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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