Individual
MS. SUSAN ANNE HODGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1006 MUNICIPAL DR, FARMINGTON, NM 87401-5442
(505) 325-1720
Mailing address
1006 MUNICIPAL DR, FARMINGTON, NM 87401-5442
(505) 325-1720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0119831
NM
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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