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Individual
PAULA LYNN FOTHERGILL
Active
Individual
PAULA LYNN FOTHERGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CADCII
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
04-03-43U
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
01/30/2006
Last updated
01/06/2016
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