Individual
CHABLI HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1231 COTTAGE AVE APT 205, VERMILLION, SD 57069-3557
(954) 470-5945
Mailing address
1231 COTTAGE AVE APT 205, VERMILLION, SD 57069-3557
(954) 470-5945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17562
FL
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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