ANDREA FOGLE
Mental Health at Logan Gln, Lake City, FL

License number
Florida 11471
Issued Date
Aug 12, 2013
Effective Date
Apr 17, 2017
Expiration Date
Mar 31, 2015
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address
1010 SW Logan Gln APT 202, Lake City, FL 32025
Phone
(803) 290-2783
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Andrea Fogle, age 53
3364 Velona Ave, New Smyrna Beach, FL 32168

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