Individual
ASHLEY MARISA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(855) 497-6447
Mailing address
21W134 GLEN PARK RD, LOMBARD, IL 60148-5145
(630) 461-9065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010619
IL
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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