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Individual
MS. TERESA C. VON WOGLOM
Active
Individual
MS. TERESA C. VON WOGLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099JN
BCBS
TX
01
—
226924
VALUE OPTIONS
TX
Enumeration date
09/02/2006
Last updated
07/09/2007
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