Individual
KIMBERLY SUE OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
331 KATHRYN CT, NEW RICHMOND, WI 54017-2528
(715) 220-7417
Mailing address
331 KATHRYN CT, NEW RICHMOND, WI 54017-2528
(715) 220-7417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306288
MN
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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