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1801964580
KELLY HOGAN
WINSTON-SALEM, NC
NPI
1801964580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 4581)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
-- KELLY HOGAN
640 HOLLY AVE
WINSTON-SALEM, NC 27101
Phone number: 336-725-3999
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Mailing Address
-- KELLY HOGAN
1066 W 4TH ST STE 301
WINSTON SALEM, NC 27101-2434
Phone number: 336-725-3999
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