Individual
DIXIE OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 ROSE LN, FAIRMONT, WV 26554-9242
(304) 534-0957
Mailing address
1516 ROSE LN, FAIRMONT, WV 26554-9242
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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