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Individual

JACQUELINE ANITA HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW,LCSW

Contact information

Practice address
753 STATE AVE, SUITE 660, KANSAS CITY, KS 66101-2516
(913) 244-8443
Mailing address
2326 N 43RD TER, KANSAS CITY, KS 66104-3424

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2002016074
MO
1041C0700X
Clinical Social Worker
Primary
2264
KS

Other

Enumeration date
03/02/2007
Last updated
11/04/2008
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