Individual
CHARBONNET FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
201 S ROSE ST, SHERIDAN, AR 72150-2451
(870) 917-2171
(870) 917-2161
Mailing address
201 S ROSE ST, SHERIDAN, AR 72150-2451
(870) 917-2171
(870) 917-2161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
07/20/2021
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