Individual
MARITZA AMINTA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
115 N HARVIN ST FL 6, SC DEPARTMENT OF JUVENILE JUSTICE, SUMTER, SC 29150-4956
(803) 778-2368
(803) 775-2377
Mailing address
115 N HARVIN ST FL 6, SC DEPARTMENT OF JUVENILE JUSTICE, SUMTER, SC 29150-4956
(803) 778-2368
(803) 775-2377
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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