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Individual
GARY P FOX
Active
Individual
GARY P FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LADC, SAP, MAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
460
MN
101YP2500X
Professional Counselor
4630-125
WI
Other
Enumeration date
07/20/2006
Last updated
11/06/2018
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