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NPI 1225579535

NPI 1225579535 : MARY HELEN HOGUE MSW, MPH, LCSW-S : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1225579535
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    Entity Type          |    Individual 
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    Provider Name        |    MARY HELEN HOGUE MSW, MPH, LCSW-S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2017
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    Last Update Date     |    01/07/2025
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Provider Practice Location Address
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    Address Line         |    8300 ANTLER RIDGE AVE 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89149-4505
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    Country              |    US
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    Telephone            |    513-501-3751
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8300 ANTLER RIDGE AVE 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89149-4505
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    Country              |    US
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    Telephone            |    513-501-3751
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    19859
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    29667
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I.15014-SUPV
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    7530-C
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    License Number State |    NV
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