Individual
ANTOINETTE M HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., MHPP
Contact information
Practice address
1109 BURMAN DR, JACKSONVILLE, AR 72076-4386
(501) 982-7515
(501) 982-7510
Mailing address
PO BOX 15968, LITTLE ROCK, AR 72231-5968
(501) 221-1843
(501) 221-2376
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
08/27/2009
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