MODESTA ALLENA FOGG

WAKE FOREST, NC
NPI1225820251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: NC  21384238)
Enumeration Date2025-05-17
Last Update Date2025-05-17
Business Address
MODESTA ALLENA FOGG
412 FERRY CT
WAKE FOREST, NC 27587-4020
Phone number: 919-306-7477
Mailing Address
MODESTA ALLENA FOGG
412 FERRY CT
WAKE FOREST, NC 27587
Phone number: 919-306-7477