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1215566385
SHERRIE NICOLE FOGG
WINSTON SALEM, NC
NPI
1215566385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-26053)
Enumeration Date
2020-04-02
Last Update Date
2020-04-02
Business Address
SHERRIE NICOLE FOGG LCAS-A
215 BRAEBURN DR
WINSTON SALEM, NC 27127-4691
Phone number: 336-655-6946
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Mailing Address
SHERRIE NICOLE FOGG LCAS-A
215 BRAEBURN DR
WINSTON SALEM, NC 27127-4691
Phone number: 336-655-6946
Copy
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