Courtney Fogarty
Social Worker, Clinical in Beverly, MA. Individual provider (NPI-1).
NPI number1962026468
StatusActive
Last updated in NPPESAug 13, 2023
Details
- NPI
- 1962026468
- Entity type
- Individual (NPI-1)
- Name
- Courtney Fogarty
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2020
- Certification date
- Aug 13, 2023
- Last updated
- Aug 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | MA | Yes |
Practice location
85 Herrick StBeverly, MA 01915-1777
Phone 978-922-3000
Mailing address
85 Herrick StBeverly, MA 01915-1777
Phone 978-922-3000
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