Individual
MS. KELLY BROOK HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5355 DELMAR, SAINT LOUIS, MO 63112
(314) 932-7110
(314) 932-7116
Mailing address
5355 DELMAR, SAINT LOUIS, MO 63112
(314) 932-7110
(314) 932-7116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007035675
MO
Other
Enumeration date
05/29/2009
Last updated
09/17/2012
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