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Organization
FOGARTY WELLNESS LLC
Active
Organization
FOGARTY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY FOGARTY LMHC (OWNER)
(850) 463-0780
Entity
Organization
Contact information
Practice address
114 AIRPORT RD STE A, PANAMA CITY, FL 32405-4738
(850) 832-3173
Mailing address
1801 KINGSLEE DR, PANAMA CITY, FL 32409-3577
(850) 832-3173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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