Individual
ANDREW JOSEPH HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 370-5389
Mailing address
153 PORTLAND AVE, OLD ORCHARD BEACH, ME 04064-1521
(207) 289-8401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC20937
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC20937
—
ME
Enumeration date
01/03/2023
Last updated
01/03/2023
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