Individual
MARY MAURICELLA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7433
(918) 540-7474
Mailing address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7433
(918) 540-7474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1125
OK
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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