Individual
JUNE FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 HOLLY AVE, WINSTON SALEM, NC 27101-2716
(336) 725-3999
Mailing address
640 HOLLY AVE, WINSTON SALEM, NC 27101-2716
(336) 725-3999
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
855
NC
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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