Jill Kathleen Dodge, LCSW
Social Worker in San Diego, CA. Individual provider (NPI-1).
NPI number1043345697
StatusActive
Last updated in NPPESJan 26, 2018
Details
- NPI
- 1043345697
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jill Kathleen Dodge
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2007
- Last updated
- Jan 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LCS5760 | CA | Yes |
Practice location
3990 Old Town AveSte 209a
San Diego, CA 92110-2967
Phone 619-615-5065 · Fax 619-294-9181
Mailing address
3990 Old Town AveSte 209a
San Diego, CA 92110
Phone 619-615-5065 · Fax 619-294-9181
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