Individual
MS. LEADREA JENNAE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 S. SANTE FE, SUITE E, OKLAHOMA CITY, OK 73139
(405) 886-6393
Mailing address
4116 SPRINGLAKE DR, OKLAHOMA CITY, OK 73111-5110
(405) 886-6393
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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