Individual
MRS. AFRICA LATRICE OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-15920
AZ
101YP2500X
Professional Counselor
Primary
LAC-15920
AZ
Other
Enumeration date
05/23/2017
Last updated
06/16/2018
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