Individual
JENNIFER K. OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
18 ANDOVER DR, SPRINGFIELD, IL 62704-5431
(217) 303-1115
Mailing address
18 ANDOVER DR, SPRINGFIELD, IL 62704-5431
(217) 303-1115
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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