Individual
JACQUELINE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 RYAN CANYON LN, DILLON, MT 59725-8000
(406) 683-6219
Mailing address
67 RYAN CANYON LN, DILLON, MT 59725-8000
(406) 683-6219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
455
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500208
—
MT
Enumeration date
08/02/2006
Last updated
11/08/2017
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