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1932253572
JACQUELINE ANN FOGERTY
SEATTLE, WA
NPI
1932253572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH60040615)
Enumeration Date
2007-01-22
Last Update Date
2017-01-04
Business Address
MRS. JACQUELINE ANN FOGERTY LMHC
9706 4TH AVE NE SUITE 303
SEATTLE, WA 98115-2157
Phone number: 206-302-2900
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Mailing Address
MRS. JACQUELINE ANN FOGERTY LMHC
1600 E OLIVE ST SEATTLE MENTAL HEALTH
SEATTLE, WA 98122-2735
Phone number: 206-302-2200
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