Individual
MS. MARYELLEN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1857 ROBINHILL CT, TUCKER, GA 30084-7018
(678) 525-1897
Mailing address
1857 ROBINHILL CT, TUCKER, GA 30084-7018
(678) 525-1897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008939
GA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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