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Individual

MR. DANIEL FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
513 E BISMARCK EXPY, BISMARCK, ND 58504-6577
(701) 255-2773
Mailing address
PO BOX 1995, BISMARCK, ND 58502-1995
(701) 255-2773

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3191
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74006
ND
Enumeration date
02/11/2008
Last updated
02/11/2008
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