LAURAINE MILDRED FOGARTY

TRACY, CA
NPI1134697980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1255740617)
Enumeration Date2018-11-09
Last Update Date2018-11-09
Business Address
Mrs. LAURAINE MILDRED FOGARTY RADT-1
580 GIANELLI ST
TRACY, CA 95376-4658
Phone number: 510-329-6153
Mailing Address
Mrs. LAURAINE MILDRED FOGARTY RADT-1
580 GIANELLI ST
TRACY, CA 95376-4658
Phone number: 510-329-6153
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