Individual
MS. MARY BARBARA HOGGATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
401 GROW AVE NW, BAINBRIDGE ISLAND, WA 98110-1733
(206) 842-7306
Mailing address
PO BOX 10577, BAINBRIDGE ISLAND, WA 98110-0577
(206) 842-7306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11634305
CAQH PROVIDER ID
—
Enumeration date
10/06/2006
Last updated
07/08/2007
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