RICO MONTINEZE HOGAN

FORT EISENHOWER, GA
NPI1871363481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C016133)
Enumeration Date2024-01-04
Last Update Date2024-01-04
Business Address
RICO MONTINEZE HOGAN LCSW
BUILDING 327, CENTRAL HOSPITAL RD.
FORT EISENHOWER, GA 30905
Phone number: 706-787-8651
Mailing Address
RICO MONTINEZE HOGAN LCSW
2303 MURA DR
AUGUSTA, GA 30906-4819
Phone number: 706-589-2883