Provider Information for 1083153597
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Mrs. JULIE OGLESBY ALLEN MA, LAPC, NCC
Other Names:Professional Name:Mrs. JULIE OGLESBY ALLEN MA, LAPC, NCCSex: Female
NPI: 1083153597
Last Updated: 2018-09-04
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
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NPI | 1083153597 | ||||||||
Enumeration Date | 2017-02-16 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1 S BROAD ST SW STE 5 ROME, GA 30161-4424 United States Phone: 706-314-8696 | Fax: | ||||||||
Primary Practice Address | 1 S BROAD ST SW STE 5 ROME, GA 30161 United States Phone: 706-314-8696 | Fax: | ||||||||
Secondary Practice Address(es) | 701 E 2ND AVE SW | ||||||||
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