Individual
CARRIE LYNN FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
269 BROOKMERE CT, RIDGEWOOD, NJ 07450-2603
(201) 220-3230
Mailing address
269 BROOKMERE CT, RIDGEWOOD, NJ 07450-2603
(201) 220-3230
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
069653
NY
1041C0700X
Clinical Social Worker
Primary
076787
NY
Other
Enumeration date
05/15/2009
Last updated
05/24/2022
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