Individual
MARY OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 WEST ST, WINNSBORO, LA 71295-3842
(318) 435-4651
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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