SLADE GABRIEL HOGAN

SAN ANGELO, TX
NPI1265912166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-20
Last Update Date2018-08-20
Business Address
SLADE GABRIEL HOGAN
3553 W HOUSTON HARTE EXPY
SAN ANGELO, TX 76901-2664
Phone number: 325-224-3481
Mailing Address
SLADE GABRIEL HOGAN
3553 W HOUSTON HARTE EXPY
SAN ANGELO, TX 76901-2664
Phone number: 325-224-3481