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Individual
MRS. ROSE INGRAM OGLE
Active
Individual
MRS. ROSE INGRAM OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
455343000
MAGELLAN
—
05
—
763558300
—
FL
01
—
Z955
BCBS
FL
Enumeration date
09/26/2005
Last updated
01/29/2019
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