Individual
MS. HOLLY ANNE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 BAXTER BLVD FL 2, PORTLAND, ME 04101-1801
(603) 883-0005
Mailing address
76 SUMMER ST LOT 94, LISBON FALLS, ME 04252-9749
(207) 319-0019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LC23206
ME
Other
Enumeration date
10/08/2021
Last updated
01/25/2024
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