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General NPI Number Information
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NPI Number | 1750765491
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Entity Type | Organization
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Legal Business Name | JENNIFER K. OGLE, LMSW LLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 2450 DELHI COMMERCE DR STE 5
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City | HOLT
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State | MI
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Zip | 48842-2193
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Country | US
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Telephone | 517-258-0083
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Fax | 855-258-2628
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Provider Business Mailing Address
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Address Line | 2450 DELHI COMMERCE DR STE 5
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City | HOLT
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State | MI
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Zip | 48842-2193
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Country | US
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Telephone | 517-258-0083
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Fax | 855-258-2628
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER MCALLISTER
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Credential | LMSW
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Telephone | 517-258-0083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801094653
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License Number State | MI
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