Individual
KELSEY DAWN MOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CM II, PRSS
Contact information
Practice address
710 MANVEL AVE, CHANDLER, OK 74834-2843
(405) 240-5333
(405) 241-6447
Mailing address
111 W 1ST ST, CHANDLER, OK 74834-2004
(405) 273-1170
(405) 241-6447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
03/14/2025
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