Most Relevant Information
Provider Data
| NPI Number: | 1003226200 |
| Provider Name: | JENNIFER FOUTCH M.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2014 |
| Last Updated: | 04/28/2014 |
Provider Practice Location
501 6TH AVE S
DEPT.# 7470
ST PETERSBURG
FL
337014634
Practice Location Phone/Fax
| Phone: | 7277676794 |
| Fax: | 7277674715 |
Provider Mailing Location
501 6TH AVE S
DEPT.# 7470
ST PETERSBURG
FL
337014634
Provider Mailing Phone/Fax
| Phone: | 7277676794 |
| Fax: | 7277674715 |