Individual
MS. GWEN A HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
36243 N 10TH ST, PHOENIX, AZ 85086-7431
(623) 326-3931
Mailing address
36243 N 10TH ST, PHOENIX, AZ 85086-7431
(623) 326-3931
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7651
AZ
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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