Jennifer Fogle

NPI #1902357452 in Normal, Illinois

Provider Information

NPI Number: 1902357452
Entity Type: Individual
Name: Jennifer Fogle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 19, 2016
Last Updated: Oct 19, 2016

Practice Location

Address: 706 OGLESBY AVE
Address 2: SUITE112
City: Normal
State: Illinois
ZIP Code: 61761-4616
Phone: (309) 585-0241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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