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Individual

MRS. VENECIA RASHONDA FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
HIGHWAY 64, OLD HIGH SCHOOL ROAD, SHIPROCK, NM 87420-4461
(470) 231-8801
Mailing address
920 BRIDGE POINTE CT, ALPHARETTA, GA 30005-4461
(678) 920-8928

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
33010572A
IN
104100000X
Social Worker
MSW008596
GA
1041S0200X
School Social Worker
Primary
M-11926
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
J7695
NM
Enumeration date
09/23/2021
Last updated
08/27/2024
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