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1912039512
JACQUELINE LEE HOGAN
MCHENRY, IL
NPI
1912039512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007455)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- JACQUELINE LEE HOGAN LCSW
5206 W ELM
MCHENRY, IL 60050
Phone number: 815-546-8021
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Mailing Address
-- JACQUELINE LEE HOGAN LCSW
5206 W ELM
MCHENRY, IL 60050
Phone number: 815-546-8021
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