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1104602218
ROBERT HODGES
SANTA CRUZ, CA
NPI
1104602218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16747)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
ROBERT HODGES
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-440-3037
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Mailing Address
ROBERT HODGES
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number:
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