Individual
MRS. SANDRA DIANE HOGSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
310 N MICHIGAN ST, STE 208, PLYMOUTH, IN 46563-1753
(574) 935-9449
(974) 935-3956
Mailing address
310 N MICHIGAN ST, STE 208, PLYMOUTH, IN 46563-1753
(574) 935-9449
(974) 935-3956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34004265A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114180
—
IN
05
—
200095080A
—
IN
Enumeration date
06/28/2005
Last updated
01/20/2011
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