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1609322080
STACY FOGARTY
AUSTIN, TX
NPI
1609322080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
-- STACY FOGARTY LSSP, LPC-I
2324 E CESAR CHAVEZ ST
AUSTIN, TX 78702-4604
Phone number: 512-643-7473
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Mailing Address
-- STACY FOGARTY LSSP, LPC-I
2324 E CESAR CHAVEZ ST
AUSTIN, TX 78702-4604
Phone number: 512-643-7473
Copy
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