Individual
KIMBERLY ANN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW, LMSW
Contact information
Practice address
243 N 56TH PL, MESA, AZ 85205-5876
(216) 970-1861
Mailing address
243 N 56TH PL, MESA, AZ 85205-5876
(216) 970-1861
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AZ
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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