Diana Fogarty, LCSW-R
NPI #1184853848 in West Babylon, New York
Provider Information
- NPI Number
- 1184853848
- Entity Type
- Individual
- Name
- Diana Fogarty, LCSW-R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-R
- Enumeration Date
- Jul 2, 2009
- Last Updated
- Jan 28, 2013
Practice Location
- Address
- 11 ROUTE 109
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-6207
- Phone
- (631) 669-5355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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