Individual
ANNE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 205-1564
Mailing address
1806 N STAR RD APT B1, COLUMBUS, OH 43212-1563
(937) 672-0661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1451238
OH
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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