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Individual

LAURA R HODGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1717 EXECUTIVE SQ, JONESBORO, AR 72401-6091
(870) 935-4102
Mailing address
2703 NIX LN, JONESBORO, AR 72404-6988
(434) 713-0300

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003934
VA
101YP2500X
Professional Counselor
Primary
P1508087
AR

Other

Enumeration date
09/28/2006
Last updated
10/30/2015
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