Individual
MARY MAUDE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1503 LLANO ST, #A, SANTA FE, NM 87505-2000
(505) 820-2921
Mailing address
1503 LLANO ST, #A, SANTA FE, NM 87505-2000
(505) 820-2921
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1292
NM
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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