Individual
MS. WENDY HOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
433 US ROUTE 1, YORK, ME 03909-1659
(207) 363-9299
(207) 363-9299
Mailing address
433 US ROUTE 1, YORK, ME 03909-1659
(207) 363-9299
(207) 363-9299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3844
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026893
TRICARE
—
01
—
048662
ANTHEM
ME
01
—
14Y000792ME02
ANTHEM
NH
05
—
214400000
—
ME
01
—
270558
MAGELLAN
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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