Individual
MRS. SERENA HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1320 NW HOMESTEAD DR, SUITE G, LAWTON, OK 73505-5243
(580) 355-8883
(580) 355-8885
Mailing address
1320 NW HOMESTEAD DR, SUITE G, LAWTON, OK 73505-5243
(580) 355-8883
(580) 355-8885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
#667
OK
Other
Enumeration date
04/29/2010
Last updated
01/14/2011
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