Individual
HEIDI OGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PIONEER LANE, SUITE 201, JACKSON, WY 83001-4259
(307) 733-7637
Mailing address
PO BOX 2668, 1070 ELK RUN LN UNIT 36, JACKSON, WY 83001-2668
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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