Individual
AUDREY BROOKE HOGAN
Active
Individual
AUDREY BROOKE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
011343
GA
104100000X
Social Worker
Primary
13555
TN
1041C0700X
Clinical Social Worker
0904019850
VA
1041C0700X
Clinical Social Worker
Primary
9658
TN
Other
Enumeration date
07/04/2023
Last updated
04/18/2026
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