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Individual
MS. LOUISE ELIZABETH FOOTE
Active
Individual
MS. LOUISE ELIZABETH FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CAADC, CCPG
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6628
PA
104100000X
Social Worker
Primary
SW124324
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN 27-2788065
DDAP GAMBLING SERVICES PROVIDER
PA
Enumeration date
03/08/2014
Last updated
03/08/2014
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