Individual
MR. DOMINIC D FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT, SACIT
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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