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Individual
MR. CHARLES E FOSTER
Active
Individual
MR. CHARLES E FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCAPP RII05130515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCAPP RII05130515
CA
Other
Enumeration date
12/30/2014
Last updated
07/30/2015
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