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Individual

DAVID GREGORY HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
101 BUCKLIN ST, PAWTUCKET, RI 02861-1965
(808) 990-3688
Mailing address
101 BUCKLIN ST, PAWTUCKET, RI 02861-1965

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSW03344
RI
101YM0800X
Mental Health Counselor
CSW03344
RI
1041C0700X
Clinical Social Worker
Primary
CSW03344
RI

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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