Individual
JULIA A OGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1625 BETHANY RD, SYCAMORE, IL 60178-3124
(779) 777-7335
Mailing address
1625 BETHANY RD, SYCAMORE, IL 60178-3124
(779) 777-7335
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009771
IL
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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