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1861988040
CHARLETT HODGE
FAYETTEVILLE, GA
NPI
1861988040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC011781)
Enumeration Date
2018-07-10
Last Update Date
2024-10-16
Business Address
CHARLETT HODGE LPC
260 4TH ST
FAYETTEVILLE, GA 30214-4618
Phone number: 202-210-2530
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Mailing Address
CHARLETT HODGE LPC
260 4TH ST
FAYETTEVILLE, GA 30214-4618
Phone number: 202-210-2530
Copy
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