Individual
THERESA M FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5601 LOCH RAVEN BLVD STE 103, BALTIMORE, MD 21239-2945
(443) 444-3848
(443) 444-3849
Mailing address
1027 MARLAU DR, BALTIMORE, MD 21212-3216
(410) 921-5932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
09352
MD
104100000X
Social Worker
Primary
G090352
MD
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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