Individual
STEPHANIE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N 10TH ST STE 525, SAINT LOUIS, MO 63101-1287
(314) 436-2313
Mailing address
185 CLIFF CAVE RD, SAINT LOUIS, MO 63129-3611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002569
MO
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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