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1477889111
SUSAN BUSKILL FOGG
GRUNDY, VA
NPI
1477889111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701004695)
Enumeration Date
2009-10-31
Last Update Date
2012-02-16
Business Address
Mrs. SUSAN BUSKILL FOGG LPC
19873 RIVERSIDE DRIVE
GRUNDY, VA 24614
Phone number: 276-210-4618
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Mailing Address
Mrs. SUSAN BUSKILL FOGG LPC
PO BOX 683
POUNDING MILL, VA 24637-0683
Phone number: 276-210-4618
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