Individual
KATHLEEN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 1ST AVE, FAIRBANKS, AK 99701-4803
(907) 459-3800
(907) 459-3810
Mailing address
122 1ST AVE, FAIRBANKS, AK 99701-4803
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AA504
AK
Other
Enumeration date
10/06/2005
Last updated
06/17/2009
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