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1598378606
KATHLEEN ELIZABETH HODGE
SACRAMENTO, CA
NPI
1598378606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1403100820)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
KATHLEEN ELIZABETH HODGE RADT
3600 POWER INN RD STE C
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2704
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Mailing Address
KATHLEEN ELIZABETH HODGE RADT
2505 COTTAGE WAY APT 2
SACRAMENTO, CA 95825-1941
Phone number: 916-856-9265
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