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1912302340
ELIZABETH KORSIKAS-FOGG
VANCOUVER, WA
NPI
1912302340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- ELIZABETH KORSIKAS-FOGG B.S.
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7369
Phone number: 360-721-4326
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Mailing Address
-- ELIZABETH KORSIKAS-FOGG B.S.
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7369
Phone number: 360-721-4326
Copy
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