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Individual
CAROL L FOGLESON
Active
Individual
CAROL L FOGLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1799
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
1799132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39355300
—
WI
Enumeration date
05/03/2006
Last updated
07/08/2007
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