Individual
ANDREW S HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1015 W LAWRENCE AVE FL 2, CHICAGO, IL 60640-5017
(773) 275-2586
Mailing address
1015 W LAWRENCE AVE FL 2, CHICAGO, IL 60640-5017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022586
IL
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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