Individual
LAQUETIA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W 8TH ST, RINCON, GA 31326-7200
(912) 826-7469
Mailing address
600 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1973
(912) 449-7111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008744
GA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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