Individual
MS. CAMEICA K FOGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 967-6500
Mailing address
23 N 10TH AVE, MOUNT VERNON, NY 10550-2064
(914) 512-7874
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097471
NY
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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