Individual
MR. ANTWON ONEIL FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Contact information
Practice address
3824 BARRETT DR STE 105, RALEIGH, NC 27609-7220
(919) 790-7775
(919) 790-9755
Mailing address
4403 BROOMSTRAW CT, DURHAM, NC 27704-3968
(919) 358-8127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO14514
NC
Other
Enumeration date
07/07/2020
Last updated
08/21/2020
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