Individual
JAIMEE LEIANN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
957 W 21ST ST STE L, NORFOLK, VA 23517-1536
(757) 280-1777
Mailing address
957 W 21ST ST STE L, NORFOLK, VA 23517-1536
(757) 280-1777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704011727
VA
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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