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1346402245
GEORGE ALLAN FOGLE
MODESTO, CA
NPI
1346402245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 19284)
Enumeration Date
2008-07-01
Last Update Date
2008-07-01
Business Address
Mr. GEORGE ALLAN FOGLE LCSW, CCM
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
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Mailing Address
Mr. GEORGE ALLAN FOGLE LCSW, CCM
5669 GOLD CREEK DR
CASTRO VALLEY, CA 94552-5443
Phone number: 510-502-9215
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