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1962704320
KATIE L FOTHERGILL
PORT ANGELES, WA
NPI
1962704320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60393652)
Enumeration Date
2010-11-17
Last Update Date
2013-10-29
Business Address
-- KATIE L FOTHERGILL M.S.
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-385-0321
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Mailing Address
-- KATIE L FOTHERGILL M.S.
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-457-0431
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