Organization
LATRICE T OGLESBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE TONIAS OGLESBY LCPC (COUNSELOR)
(708) 268-1749
Entity
Organization
Contact information
Practice address
17019 HARLEM AVE, TINLEY PARK, IL 60477-2739
(708) 268-1749
Mailing address
1628 216TH PL, SAUK VILLAGE, IL 60411-4480
(708) 268-1749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.007113
IL
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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