Individual
ELIZABETH MARY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 35011010, EDEN PRAIRIE, MN 55344-3884
(952) 746-2522
Mailing address
6117 CREEK VIEW TRL, MINNETONKA, MN 55345-6110
(612) 418-8354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304973
MN
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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