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1104924711
WILLIAM FOTHERGILL
HARTFORD, CT
NPI
1104924711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 000533)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM FOTHERGILL MA., MSW., LPC
864 WETHERSFIELD AVE
HARTFORD, CT 06114-3184
Phone number: 860-977-3575
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Mailing Address
Mr. WILLIAM FOTHERGILL MA., MSW., LPC
PO BOX 1702
HARTFORD, CT 06144-1702
Phone number: 860-977-3575
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