Individual
LARESHA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.S.W., CAMS
Contact information
Practice address
1100 CLEVELAND AVE, EAST POINT, GA 30344-3602
(404) 564-7063
Mailing address
1100 CLEVELAND AVE, EAST POINT, GA 30344-3602
(404) 564-7063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW006541
GA
Other
Enumeration date
01/28/2016
Last updated
03/14/2016
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