Champion Psychological Services, LLC.

P.O. Box 2623 Mercerville, NJ 08619

P: 609-638-7560 /F: 609-581-4762

drhodges@championpsychsvcs.com




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    The above information is true to the best of my knowledge. I authorize my insurance benefits to be paid directly to Champion Psychological Services, LLC. I understand that I am financially responsible for any balance. I also authorize Champion Psychological Services, LLC, or the insurance company to release any information required to process my claims.




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