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Individual

KELLY R FOUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2815 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3960
(270) 883-1109
Mailing address
375 W MCLELLAN RD, BOWLING GREEN, KY 42101-8811
(270) 991-1064

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
260010
KY

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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