Individual
LETRICIA A OGUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 HIGHWAY 31, DECATUR, AL 35603-1644
(256) 355-6105
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 355-6105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51134585
BLUE CROSS BLUE SHIELD OF AL
AL
Enumeration date
01/06/2009
Last updated
04/15/2013
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