Individual
NICOLE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
Mailing address
2929 BRYANT AVE S APT 6, MINNEAPOLIS, MN 55408-2131
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
467434
MN
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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