Provider Information for 1275906372
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Miss ELIZABETH MARIE OGEA MA, LPC
Sex: Female
NPI: 1275906372
Last Updated: 2022-09-26
Certification Date: 2022-09-26
Certification Date: 2022-09-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275906372 | ||||||||||||
| Enumeration Date | 2015-11-11 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2829 4TH AVE STE 150 LAKE CHARLES, LA 70601-7897 United States Phone: 337-494-2921 | Fax:337-494-6523 | ||||||||||||
| Primary Practice Address | 2829 4TH AVE STE 150 LAKE CHARLES, LA 70601-7897 United States Phone: 337-480-7800 | Fax:337-474-4552 | ||||||||||||
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