Individual
DANA ANDREW FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
116 SUMMER ST, HAVERHILL, MA 01830-6032
(781) 871-6550
Mailing address
25 LOCUST ST APT 803, HAVERHILL, MA 01830-7013
(603) 781-2829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1336268283
MA
Other
Enumeration date
03/29/2007
Last updated
03/16/2022
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