Individual
ERIC FOTHERGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 GEORGIA AVE NW, WASHINGTON, DC 20010-1691
(202) 465-1818
Mailing address
3600 GEORGIA AVE NW, WASHINGTON, DC 20010-1691
(202) 465-1818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG20001355
DC
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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