Individual
CHRISTIE FOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1870 WINTON RD S, ROCHESTER, NY 14618-3960
(315) 604-0945
Mailing address
9 PILGRIM CIR, FAIRPORT, NY 14450-1917
(585) 857-1490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105962-01
NY
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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