Individual
MRS. MELISSA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. ED.S.
Contact information
Practice address
919 E 6TH ST, BELVIDERE, IL 61008-4500
(815) 547-7113
Mailing address
919 E 6TH ST, BELVIDERE, IL 61008-4500
(815) 547-7113
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
994389
IL
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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