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Individual

MRS. JOANN HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
709 MILL ST, CAMDEN, SC 29020-4738
(803) 432-6902
Mailing address
2705 STANTON CT, SUMTER, SC 29153-7459
(803) 469-6882

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5289
SC
101YM0800X
Mental Health Counselor
6955
NC
101YM0800X
Mental Health Counselor
LPC005720
GA

Other

Enumeration date
07/19/2007
Last updated
07/20/2011
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