Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Millie S Mogouong

Individual provider Occupational Therapy Assistant · NPI 1013527894

Millie S Mogouong is an Occupational Therapy Assistant in Newark, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

28 Richards St Apt 3
Newark, NJ 07105-3705
Phone: (347) 489-2934
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 006848-1 (NY)

Record details

NPI number1013527894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address28 Richards St Apt 3, Newark, NJ 07105-3705

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