Individual
CHRISTINA JOY FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 E MAIN ST STE C, CARMEL, IN 46032-1782
(765) 432-9238
Mailing address
300 E MAIN ST STE C, CARMEL, IN 46032-1782
(765) 432-9238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006410A
IN
Other
Enumeration date
04/02/2012
Last updated
09/21/2020
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