John W Fogerty
NPI #1184465031 in Auburn, Massachusetts
Provider Information
- NPI Number
- 1184465031
- Entity Type
- Individual
- Name
- John W Fogerty
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 4, 2024
- Last Updated
- Jun 4, 2024
Practice Location
- Address
- 12 HEARD ST
- City
- Auburn
- State
- Massachusetts
- ZIP Code
- 01501-3410
- Phone
- (401) 952-8956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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