Individual
REBECCA FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 MINNESOTA AVE, WINDSOR, IL 61957-1010
(217) 459-2636
Mailing address
1424 MINNESOTA AVE, WINDSOR, IL 61957-1010
(217) 459-2636
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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