Individual
MR. THOMAS JAMES HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1360
(208) 422-1323
Mailing address
419 N AVE E, BOISE, ID 83712
(208) 362-2209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW26586
ID
Other
Enumeration date
08/14/2006
Last updated
02/29/2024
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