Individual
VICKI OGWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 393-5900
Mailing address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 393-5900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/30/2010
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