Individual
IMANI WANGARE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2602 DIVING DUCK CT, HUMBLE, TX 77396-4857
(210) 380-9389
Mailing address
12337 JONES RD, HOUSTON, TX 77070-4800
(210) 380-9389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
66979
TX
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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