Individual
ALEXANDER NATHAN HOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1312 ESPLANADE AVE, DAVENPORT, IA 52803-4156
(563) 210-1291
Mailing address
1312 ESPLANADE AVE, DAVENPORT, IA 52803-4156
(563) 210-1291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007590
IA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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