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Individual

RUSTIN FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
3815 N 16TH ST APT 1205, PHOENIX, AZ 85016-5963
(480) 283-7438
Mailing address
3815 N 16TH ST APT 1205, PHOENIX, AZ 85016-5963
(480) 283-7438

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW17528
AZ

Other

Enumeration date
04/17/2022
Last updated
04/17/2022
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