Individual
MACKENZIE NICOLE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
4030 TATES CREEK RD APT 2963, LEXINGTON, KY 40517-3093
(513) 659-9128
Mailing address
4030 TATES CREEK RD APT 2963, LEXINGTON, KY 40517-3093
(513) 659-9128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
255894
KY
104100000X
Social Worker
—
—
Other
Enumeration date
09/11/2019
Last updated
06/25/2025
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