Individual
MRS. AMANDA AARRON FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
81 MAIN ST, BANGOR, ME 04401-6259
(207) 631-2201
Mailing address
166 GARLAND ST APT 2, BANGOR, ME 04402-0936
(207) 949-2526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3677
ME
Other
Enumeration date
08/04/2010
Last updated
03/27/2014
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