Individual
LISA FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
7603 SNI A BAR TER, KANSAS CITY, MO 64129-2155
(816) 810-5778
Mailing address
7603 SNI A BAR TER, KANSAS CITY, MO 64129-2155
(816) 810-5778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010018744
MO
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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