Mrs. Lauraine Mildred Fogarty, RADT-1
Mrs. Lauraine Mildred Fogarty, RADT-1 is an Addiction (Substance Use Disorder) Counselor in Tracy, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
580 Gianelli StTracy, CA 95376-4658
Phone: (510) 329-6153
Fax: (209) 834-8674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1255740617 (CA) |
|---|
Record details
| NPI number | 1134697980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RADT-1 |
| Sole proprietor | Yes |
| NPI enumerated | November 9, 2018 |
| Last updated in NPPES | November 9, 2018 |
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