Most Relevant Information
Provider Data
| NPI Number: | 1003823758 |
| Provider Name: | JACQUELINE FOSTER |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 455 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 11/08/2017 |
Provider Practice Location
67 RYAN CANYON LN
DILLON
MT
597258000
Practice Location Phone/Fax
| Phone: | 4066836219 |
| Fax: |
Provider Mailing Location
67 RYAN CANYON LN
DILLON
MT
597258000
Provider Mailing Phone/Fax
| Phone: | 4066836219 |
| Fax: |