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1336322734
TERRA LYNN OGLE
MATTOON, IL
NPI
1336322734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.014957)
Enumeration Date
2007-12-10
Last Update Date
2016-08-24
Business Address
-- TERRA LYNN OGLE LCSW
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
-- TERRA LYNN OGLE LCSW
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Copy
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