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Individual

MRS. ELISABETH BACHMAN HODGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
11964 BOYETTE RD, (813) 663-9828, RIVERVIEW, FL 33569-5601
(813) 663-9828
Mailing address
10225 RAINBRIDGE DR, RIVERVIEW, FL 33569-4120
(352) 213-5752

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9696
FL
235Z00000X
Speech-Language Pathologist
SLP007308
GA

Other

Enumeration date
03/15/2011
Last updated
07/05/2012
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