Individual
GINA HOAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.-C. M.S.
Contact information
Practice address
15 FAIRWOOD VIEW CT, PHOENIX, MD 21131-1301
(410) 917-2421
Mailing address
15 FAIRWOOD VIEW CT, PHOENIX, MD 21131-1301
(410) 917-2421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07279
MD
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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