Individual
DOUGLAS HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPE
Contact information
Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
139 E NOLLEY DR, COLLIERVILLE, TN 38017-3553
(901) 853-2792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPE1207
TN
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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