Most Relevant Information
Provider Data
NPI Number: | 1003214669 |
Provider Name: | JUDITH FOSTER LCSW-C |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 14858 |
Most Important Dates
Enumeration Date: | 12/15/2014 |
Last Updated: | 12/15/2014 |
Provider Practice Location
618 TRAILS END CIR
BONAIRE
GA
310053588
Practice Location Phone/Fax
Phone: | 6094755079 |
Fax: |
Provider Mailing Location
618 TRAILS END CIR
BONAIRE
GA
310053588
Provider Mailing Phone/Fax
Phone: | 6094755079 |
Fax: |