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1053939983
ANTWON ONEIL FOGLE
RALEIGH, NC
NPI
1053939983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC PO14514)
Enumeration Date
2020-07-07
Last Update Date
2020-08-21
Business Address
MR. ANTWON ONEIL FOGLE MSW, LCSWA
3824 BARRETT DR STE 105
RALEIGH, NC 27609-7220
Phone number: 919-790-7775
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Mailing Address
MR. ANTWON ONEIL FOGLE MSW, LCSWA
4403 BROOMSTRAW CT
DURHAM, NC 27704-3968
Phone number: 919-358-8127
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