Most Relevant Information
Provider Data
| NPI Number: | 1003394040 |
| Provider Name: | CORINNE LEA HOGG LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 09925246 |
Most Important Dates
| Enumeration Date: | 08/01/2018 |
| Last Updated: | 08/01/2018 |
Provider Practice Location
2360 E PERSHING BLVD
CHEYENNE
WY
820015356
Practice Location Phone/Fax
| Phone: | 3077578583 |
| Fax: |
Provider Mailing Location
2080 VINEYARD DR
WINDSOR
CO
805503528
Provider Mailing Phone/Fax
| Phone: | 7202179613 |
| Fax: |