Individual
PAULINE HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E SUNSET DR, RIVERTON, WY 82501-2557
(307) 857-5512
Mailing address
320 E SUNSET DR, RIVERTON, WY 82501-2557
(307) 857-5512
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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