Individual
MR. JOSEPH GERARD HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 270-4387
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 270-4387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05665
NM
1041C0700X
Clinical Social Worker
LSW0000004849
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512019
—
TN
05
—
92127207
—
NM
Enumeration date
06/27/2006
Last updated
04/05/2021
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