Individual
SUMMER B HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111129
TX
1041C0700X
Clinical Social Worker
CSW.09925779
CO
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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