Individual
JESSICA R FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 621-7533
Mailing address
6950 HILLSDALE CT, ATTN CAROL GORBETT, INDIANAPOLIS, IN 46250-2040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005359A
IN
Other
Enumeration date
12/08/2006
Last updated
10/20/2009
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