Individual
STEPHEN C FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0718
Mailing address
1943 SUNSET BLVD, KINGMAN, AZ 86401-5124
(928) 753-1015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0282
AZ
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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