Individual
MS. KRISTEN LOUISE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
317 STARK BLVD, HERMANN, MO 65041-1261
(816) 808-4408
Mailing address
317 STARK BLVD, HERMANN, MO 65041-1261
(816) 808-4408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005020194
MO
Other
Enumeration date
02/01/2007
Last updated
01/26/2015
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