Individual
CARLY ELAINE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY BLVD, SAINT LOUIS, MO 63121-4400
(314) 516-5000
Mailing address
1 UNIVERSITY BLVD, SAINT LOUIS, MO 63121-4400
(314) 516-5000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
10/25/2021
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