Individual
GWEN MARIE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2707 VINE ST STE 17, NORTHRIDGE PLAZA, HAYS, KS 67601-1911
(785) 625-2644
(785) 625-6497
Mailing address
2707 VINE ST STE 17, NORTHRIDGE PLAZA, HAYS, KS 67601-1911
(785) 625-2644
(785) 625-6497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3966
KS
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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