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Individual
MARY JANE OGLESBY
Active
Individual
MARY JANE OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 3106
FL
101YM0800X
Mental Health Counselor
Primary
MH7721
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767270500
—
FL
Enumeration date
04/17/2006
Last updated
03/21/2013
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