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Individual

MRS. BEVERLY RENEE HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3636 S ATHERTON ST, STATE COLLEGE, PA 16801-8301
(760) 641-9376
Mailing address
5313 E SAPPHIRE DR, PRESCOTT, AZ 86301-5984
(928) 445-4860

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/25/2020
Last updated
02/13/2026
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