Individual
MRS. MARY KATHERINE OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1079 COUNTY ROAD 176, GUNTOWN, MS 38849-8521
(662) 231-3179
(662) 869-3618
Mailing address
1079 COUNTY ROAD 176, GUNTOWN, MS 38849-8521
(662) 231-3179
(662) 869-3618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2818
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03186379
—
MS
Enumeration date
05/18/2007
Last updated
07/09/2007
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