Individual
SHANTA OGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
120 W WATER ST APT B, PLYMOUTH, NC 27962-1306
(405) 200-2157
Mailing address
120 W WATER ST APT B, PLYMOUTH, NC 27962-1306
(405) 200-2157
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20103A
NC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/09/2018
Last updated
06/21/2024
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