Individual
NELLY JANSEN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
9107 SHAD CIR, SANDY, UT 84093-2623
(801) 942-7469
Mailing address
9107 SHAD CIR, SANDY, UT 84093-2623
(801) 942-7469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
102339-3503
UT
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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