| Doctor Name: | LILLIAN H OGLE |
| NPI Number: | 1952304644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904001976 |
| Business Practice Address: | 204 Town Square St #1 Glade Spring, VA - 243402924 |
| Business Phone Number: | 2764292114 |
| Business Fax Number: | 2764292120 |
| Mailing Address: | Po Box 394, GLADE SPRING |
| State: | VA |
| Postal Code: | 243400394 |
| Phone Number: | 2764292114 |
| Fax Number: | 2764292120 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904001976 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |