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Contact Information

MARY K BROGAN, LCSW
3111 W DR MARTIN LUTHER KING JR BLVD
SUITE 100
TAMPA, FL33607
 Phone: 813-205-3870
 Fax: 813-350-7801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY K BROGAN · (Female)

NPI Number 1285666479
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SW3937
  • Other Z032B BLUE CROSS BLUE SHIELD
  • Other 2142050 CIGNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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