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Individual

MISS GINA KOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
13442 SYLVAN ST, VALLEY GLEN, CA 91401-2416
(818) 787-7925
Mailing address
13442 SYLVAN ST, VALLEY GLEN, CA 91401-2416
(818) 787-7925

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CA

Other

Enumeration date
06/16/2010
Last updated
06/16/2010
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