Individual
MICHELLE LYNN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3500
(304) 234-3511
Mailing address
250 BOGGS HILL RD, WHEELING, WV 26003-9399
(304) 242-0282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00942880
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
WV
Enumeration date
11/21/2008
Last updated
11/21/2008
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