MRS. Lauraine Mildred Fogarty, RADT-1
NPI #1134697980 in Tracy, California
Provider Information
- NPI Number
- 1134697980
- Entity Type
- Individual
- Name
- MRS. Lauraine Mildred Fogarty, RADT-1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- RADT-1
- Enumeration Date
- Nov 9, 2018
- Last Updated
- Nov 9, 2018
Practice Location
- Address
- 580 GIANELLI ST
- City
- Tracy
- State
- California
- ZIP Code
- 95376-4658
- Phone
- (510) 329-6153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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