Individual
ANTONINA CAPPELLO HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3636
Mailing address
1660 S UNIVERSITY DR # 1202, FORT WORTH, TX 76107-6524
(817) 290-3021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59951
TX
Other
Enumeration date
05/06/2019
Last updated
11/30/2022
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