Individual
BARBARA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026
(208) 528-2945
Mailing address
932 W 500 N, BLACKFOOT, ID 83221-5200
(208) 200-6998
(208) 528-2945
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW35211
ID
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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