Individual
EMMALINE KATHLEEN HODGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 S ORCHARD ST STE 100, BOISE, ID 83705-1916
(208) 344-9797
Mailing address
617 S 13TH ST APT 202, BOISE, ID 83702-6807
(208) 340-9996
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-250320
—
ID
Enumeration date
09/13/2025
Last updated
09/13/2025
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