Individual
CLAIRE V FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
21 NEWBURY ST, WOBURN, MA 01801-2510
(781) 491-0172
Mailing address
21 NEWBURY ST, WOBURN, MA 01801-2510
(781) 491-0172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
201760
MA
101YM0800X
Mental Health Counselor
—
MA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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