Individual
ALFRED JUSTIN HODGE V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
37721 VINE ST STE 1, WILLOUGHBY, OH 44094-6256
(440) 525-5305
(216) 525-5235
Mailing address
37721 VINE ST STE 1, WILLOUGHBY, OH 44094-6256
(440) 525-5305
(216) 525-5235
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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