Individual
JENNIFER LYNNE KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5247 WISCONSIN AVE NW, SUITE 2, WASHINGTON, DC 20015-2012
(202) 215-2790
Mailing address
5508 30TH PL NW, WASHINGTON, DC 20015-1210
(202) 215-2790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302938
DC
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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