Individual
MRS. MARGARETT JANE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
(602) 995-8503
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 12201
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011595
—
AZ
Enumeration date
02/14/2007
Last updated
12/14/2016
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