MARY HODGE

ROSEVILLE, MN
NPI1255846168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  303575)
Enumeration Date2017-12-14
Last Update Date2017-12-14
Business Address
MARY HODGE
2311 WOODBRIDGE ST
ROSEVILLE, MN 55113-4710
Phone number: 651-773-0832
Mailing Address
MARY HODGE
2311 WOODBRIDGE ST
ROSEVILLE, MN 55113-4710
Phone number: 651-773-0832
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