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1699783050
DWAYNE HOGAN
SACO, ME
NPI
1699783050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC7667)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
-- DWAYNE HOGAN LCSW
50 MOODY ST
SACO, ME 04072-1536
Phone number: 207-294-4657
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Mailing Address
-- DWAYNE HOGAN LCSW
96 HARLOW ST BOX 341
BANGOR, ME 04401-4925
Phone number:
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