RUSSELL E HOGAN

GRAND RAPIDS, MI
NPI1760455422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301005419)
Enumeration Date2006-02-10
Last Update Date2007-07-08
Business Address
-- RUSSELL E HOGAN PHD
700 3 MILE RD NW
GRAND RAPIDS, MI 49544-8220
Phone number: 616-942-8060
Mailing Address
-- RUSSELL E HOGAN PHD
700 3 MILE RD NW
GRAND RAPIDS, MI 49544-8220
Phone number: 616-942-8060
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