Terra Dodge
Case Manager/Care Coordinator in Burbank, CA. Individual provider (NPI-1).
NPI number1124457916
StatusActive
Last updated in NPPESNov 2, 2013
Details
- NPI
- 1124457916
- Entity type
- Individual (NPI-1)
- Name
- Ms. Terra Dodge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2013
- Last updated
- Nov 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1130 W Olive Ave # BBurbank, CA 91506-2214
Phone 818-848-9995
Mailing address
1130 W Olive Ave # BBurbank, CA 91506-2214
Phone 818-848-9995
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