Individual
MICHELLE LYNN FOGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
3025 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588
(843) 215-2444
Mailing address
3025 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588-4502
(843) 215-2400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3643
SC
101Y00000X
Counselor
4331
NC
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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