MRS. Susan Buskill Fogg, LPC

NPI #1477889111 in Grundy, Virginia

Provider Information

NPI Number
1477889111
Entity Type
Individual
Name
MRS. Susan Buskill Fogg, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Oct 31, 2009
Last Updated
Feb 16, 2012

Practice Location

Address
19873 RIVERSIDE DRIVE
City
Grundy
ZIP Code
24614
Phone
(276) 210-4618

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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