Individual
MS. ORA GWENDOLYN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 14TH ST NW, FORT PAYNE, AL 35967-3155
(256) 845-4571
(256) 845-4582
Mailing address
301 14TH ST NW, FORT PAYNE, AL 35967-3155
(256) 845-4571
(256) 845-4582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1509C
AL
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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