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Individual

ELLEN HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAPCC,LMHC

Contact information

Practice address
615 NORTH ALABAMA STREET, SUITE 320, INDIANAPOLIS, IN 46204
(317) 634-6341
(317) 464-9575
Mailing address
615 NORTH ALABAMA STREET, SUITE 320, INDIANAPOLIS, IN 46204
(317) 634-6341
(317) 464-9575

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39001708A
IN

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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