Individual
CARISSA R HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
267 CROSS COUNTRY RD, VERONA, WI 53593-1970
(608) 209-3519
Mailing address
267 CROSS COUNTRY RD, VERONA, WI 53593-1970
(608) 209-3519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127312-121
WI
Other
Enumeration date
02/02/2009
Last updated
02/14/2022
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