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Individual
LILLIAN H OGLE
Active
Individual
LILLIAN H 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
0904001976
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008914435
—
VA
01
—
066728
BC BS
VA
01
—
17162800
MAGELLAN
VA
01
—
171628000
MAGELLAN MIS
VA
01
—
195523
VALUE OPTIONS
VA
01
—
85198
SENTARA
VA
Enumeration date
05/27/2005
Last updated
09/26/2019
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