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1891541389
RICKEY HODGES
HAWTHORNE, CA
NPI
1891541389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
RICKEY HODGES
4951 W 119TH PL
HAWTHORNE, CA 90250-2722
Phone number: 562-204-6120
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Mailing Address
RICKEY HODGES
PO BOX 6763
BUENA PARK, CA 90622-6763
Phone number: 562-204-6120
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