LOREN FOGELMAN

MEDFORD, OR
NPI1942456033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2008-08-08
Last Update Date2008-08-08
Business Address
-- LOREN FOGELMAN CADCI
111 GENESSEE ST
MEDFORD, OR 97504-7103
Phone number: 541-779-5866
Mailing Address
-- LOREN FOGELMAN CADCI
111 GENESSEE ST
MEDFORD, OR 97504-7103
Phone number: 541-779-5866