MAYRA LEON FOGG

VISALIA, CA
NPI1467978981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  105890)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-08-16
Last Update Date2024-03-06
Business Address
MAYRA LEON FOGG
1830 S CENTRAL ST
VISALIA, CA 93277-4418
Phone number: 559-730-2969
Mailing Address
MAYRA LEON FOGG
1830 S CENTRAL ST
VISALIA, CA 93277-4418
Phone number: 559-730-2969
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