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Individual

DR. HODGES JAMES GLENN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
422 LINN ST, LEAVENWORTH, KS 66048-3437
(913) 682-8700
(913) 578-1038
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6000
(913) 684-6128

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
92-16P
AR

Other

Enumeration date
07/26/2006
Last updated
12/29/2023
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