Individual
ALISSA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12620 BEACH BLVD STE 13, JACKSONVILLE, FL 32246-7130
(352) 639-0760
Mailing address
12620 BEACH BLVD STE 13, JACKSONVILLE, FL 32246-7130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19485
FL
Other
Enumeration date
05/09/2016
Last updated
08/23/2023
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