Tierra Dawn Hodge, CDCA 1
NPI #1568045144 in Middletown, Ohio
Provider Information
- NPI Number
- 1568045144
- Entity Type
- Individual
- Name
- Tierra Dawn Hodge, CDCA 1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Credential
- CDCA 1
- Enumeration Date
- May 3, 2021
- Last Updated
- May 3, 2021
Practice Location
- Address
- 1221 1ST AVE
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45044-4194
- Phone
- (513) 849-2081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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