Provider Demographics
NPI:1689883258
Name:DOGAN, JOSEPHINE HENRY (BSW)
Entity Type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:HENRY
Last Name:DOGAN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 W MAIN AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-4135
Mailing Address - Country:US
Mailing Address - Phone:704-833-0848
Mailing Address - Fax:704-854-5314
Practice Address - Street 1:175 W MAIN AVE
Practice Address - Street 2:SUITE D
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4135
Practice Address - Country:US
Practice Address - Phone:704-833-0848
Practice Address - Fax:704-854-5314
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator