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Individual

MS. MARISA K HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 E PARIS AVE SE STE 160, GRAND RAPIDS, MI 49546-8313
(586) 295-7040
Mailing address
1946 CENTER AVE NE, GRAND RAPIDS, MI 49505-6273
(586) 295-7040

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47219
MI
247200000X
Other Technician

Other

Enumeration date
03/20/2017
Last updated
07/27/2026
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