Individual
ASHLEIGH FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
635 COX RD, SUITE B, GASTONIA, NC 28054-3424
(704) 691-7561
Mailing address
20316 LOBO LN, APARTMENT #301, CHARLOTTE, NC 28216-0161
(919) 358-7671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010690
NC
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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