Individual
BRITTAINY HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 N MARKET ST STE 2, SHREVEPORT, LA 71107
(318) 424-8735
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 675-0804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
09/04/2018
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