Individual
MS. CHARLENE HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
167 FOREST HILL DR, AVON LAKE, OH 44012-1743
(914) 772-8439
Mailing address
167 FOREST HILL DR, AVON LAKE, OH 44012-1743
(914) 772-8439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105029
NY
1041C0700X
Clinical Social Worker
I.2203977
OH
Other
Enumeration date
04/15/2019
Last updated
01/04/2023
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