Individual
JODY MOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18650 NW CORNELL RD STE 215, HILLSBORO, OR 97124-9212
(503) 216-5240
Mailing address
1515 NW 21ST AVE APT 421, PORTLAND, OR 97209-1793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7234
OR
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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