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Individual

EDWARD FOSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 547-9990
Mailing address
3424 32ND AVE S, MINNEAPOLIS, MN 55406-2719

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2963

Other

Enumeration date
01/12/2018
Last updated
01/12/2018
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