Individual
BRENDA JEAN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW, CAADC
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(056) 347-2511
(605) 720-7033
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(056) 347-2511
(605) 720-7033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C01861
MI
1041C0700X
Clinical Social Worker
Primary
6801088030
MI
Other
Enumeration date
09/29/2006
Last updated
03/26/2024
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