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Claire V Fogg, MSW

Counselor, Mental Health in Woburn, MA. Individual provider (NPI-1).

NPI number1295070530
StatusActive
Last updated in NPPESNov 27, 2012

Details

NPI
1295070530
Entity type
Individual (NPI-1)
Name
Claire V Fogg
Credential
MSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 27, 2012
Last updated
Nov 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health201760MAYes
101YM0800X Counselor, Mental Health–MA

Practice location

21 Newbury St
Woburn, MA 01801-2510

Phone 781-491-0172

Mailing address

21 Newbury St
Woburn, MA 01801-2510

Phone 781-491-0172

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