MR. Wilfred Dale Hodson, CPRM DEVELOPMENT PLA

NPI #1386310746 in Inkster, Michigan

Provider Information

NPI Number: 1386310746
Entity Type: Individual
Name: MR. Wilfred Dale Hodson, CPRM DEVELOPMENT PLA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CPRM DEVELOPMENT PLA
Enumeration Date: Aug 17, 2021
Last Updated: Aug 17, 2021

Practice Location

Address: 1468 WOODLAND DR
City: Inkster
State: Michigan
ZIP Code: 48141-1744
Phone: (313) 784-6463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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