IDA LATRECIA FOGLE

LITTLE ROCK, AR
NPI1952414104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  1982-C)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
Mrs. IDA LATRECIA FOGLE LCSW
1100 W 2ND ST
LITTLE ROCK, AR 72201-2004
Phone number: 501-257-4399
Mailing Address
Mrs. IDA LATRECIA FOGLE LCSW
17 LAKESIDE DR
LITTLE ROCK, AR 72204-8405
Phone number: 501-257-4399
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