Individual
PAMELA ANN FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CRC
Contact information
Practice address
2200 FORT ROOTS DR, 116B/NLR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1675
(501) 257-1671
Mailing address
25 COTTONWOOD DR, CABOT, AR 72023-3962
(501) 257-1675
(501) 257-1671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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