KELLY HOGAN

WINSTON-SALEM, NC
NPI1801964580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  4581)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
-- KELLY HOGAN
640 HOLLY AVE
WINSTON-SALEM, NC 27101
Phone number: 336-725-3999
Mailing Address
-- KELLY HOGAN
1066 W 4TH ST STE 301
WINSTON SALEM, NC 27101-2434
Phone number: 336-725-3999