Individual
TISHA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 LAUREL FORT MEADE RD STE 105, LAUREL, MD 20724-2040
(301) 490-3825
Mailing address
3450 LAUREL FORT MEADE RD STE 105, LAUREL, MD 20724-2040
(301) 490-3825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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