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Individual

MRS. MARY FOGARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
104 N MAIN ST, MCPHERSON, KS 67460-4348
(620) 241-6603
Mailing address
1110 S WALNUT ST, MCPHERSON, KS 67460-5919
(620) 257-9628

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9387
KS

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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