Individual
HEATHER HOGBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
111 W 15TH ST, DAVENPORT, IA 52803-4609
(563) 322-7419
(563) 322-5339
Mailing address
111 W 15TH ST, DAVENPORT, IA 52803-4609
(563) 322-7419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007234
IA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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