Individual
MR. ROY EVERETT HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
676 W 130 S UNIT A, PLEASANT GROVE, UT 84062-4813
(509) 551-9364
Mailing address
PO BOX 974, PLEASANT GROVE, UT 84062-0974
(509) 551-9364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10640565-3501
UT
Other
Enumeration date
07/15/2011
Last updated
02/02/2021
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