Individual
OLIVIA HOGAN ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 W PINE ST, HATTIESBURG, MS 39401-3835
(601) 336-9131
Mailing address
316 S 12TH AVE, HATTIESBURG, MS 39401-6233
(601) 218-8508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C9099
MS
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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