Colleen E Hogan LICSW

NPI 1568770873 - Social Worker - 1041C0700X

NPI Details
NPI 1568770873
Gender Female
Enumeration Date 09/21/2010
Last Updated 07/29/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
850 HARRISON AVE
BOSTON MA, 02118-4001, US
Phone (617) 414-5245
Fax (617) 638-6836
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118-2371, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 118290
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According to our database, Colleen E Hogan LICSW NPI is 1568770873, taxonomy code is 1041C0700X and license number is 118290, license state is located at Massachusetts. Colleen E Hogan LICSW physically located at 850 Harrison Ave, Boston MA, 02118-4001. NPI Number Colleen E Hogan LICSW has the Individual type.

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1568770873 NPI number is provided on an as is basis without warranty of any kind. 1568770873 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen E Hogan LICSW are for informational purposes only.