Individual
KELLY HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
49 WATER LILY WAY, LAKELAND, GA 31635-6848
(912) 470-9492
Mailing address
49 WATER LILY WAY, LAKELAND, GA 31635-6848
(912) 470-9492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/26/2022
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