Individual
MS. JEAN MARY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Mailing address
37130 MCKINLEY CT, APT. 653, FARMINGTON HILLS, MI 48335-1859
(248) 957-8547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801092829
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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