Individual
ALICIA OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Mailing address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
09/14/2016
Last updated
07/14/2021
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