Terra Lynn Ogle, LCSW

NPI #1336322734 in Mattoon, Illinois

Provider Information

NPI Number: 1336322734
Entity Type: Individual
Name: Terra Lynn Ogle, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 10, 2007
Last Updated: Aug 24, 2016

Practice Location

Address: 750 BROADWAY AVE E
City: Mattoon
State: Illinois
ZIP Code: 61938-4610
Phone: (217) 238-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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