Individual
MR. BILLY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, NCC AP MAC
Contact information
Practice address
109 ALFRED DR, VICKSBURG, MS 39180-9147
(601) 415-9424
Mailing address
109 ALFRED DR, VICKSBURG, MS 39180-9147
(601) 415-9424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6203
MS
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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