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Individual

MELISSA HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
Mailing address
7410 W COAL MINE AVE APT H, LITTLETON, CO 80123-4497

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09923932
CO
1041C0700X
Clinical Social Worker
31158
MD
1041C0700X
Clinical Social Worker
L15376
OR

Other

Enumeration date
09/17/2024
Last updated
09/17/2024
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