Individual
MARY FOUGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9875 PALMOOR ST, WHITE LAKE, MI 48386-2841
(248) 760-3255
Mailing address
9875 PALMOOR ST, WHITE LAKE, MI 48386-2841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011243
MI
Other
Enumeration date
05/07/2010
Last updated
01/27/2016
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