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Provider Information for 1447850417


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LOUISE DOGAN


Sex: Female

NPI: 1447850417
Last Updated: 2024-08-28
Certification Date: 2024-08-28

Details

NameValue
NPI1447850417
Enumeration Date2020-10-29
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5607 NW 27TH AVE STE 1
MIAMI, FL 33142-2826
United States

Phone: 305-805-1700 | Fax:305-805-1715
 
Primary Practice Address 5361 NW 22ND AVE
MIAMI, FL 33142-8035
United States

Phone: 305-637-6400 | Fax:305-636-5155
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalFLSW10820