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1790701274
GEORGE SIDNEY FOGEL
CONWAY, SC
NPI
1790701274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
-- GEORGE SIDNEY FOGEL MA
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- GEORGE SIDNEY FOGEL MA
815 PRINCE ST
GEORGETOWN, SC 29440-3509
Phone number: 843-546-4310
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