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1841897519
PATRICK MICHAEL FOGARTY
LOUISA, KY
NPI
1841897519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
PATRICK MICHAEL FOGARTY CADC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
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Mailing Address
PATRICK MICHAEL FOGARTY CADC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
Copy
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