Search › Illinois › 1041C0700X
Kettisha Hodges, LCSW
NPI 1235425620 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2001 Maine St. Suite 102
Quincy, IL 62301 - Phone
- (217) 740-2719
Additional practice sites
- 1025 Maine St, Quincy, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois