Individual
KJERSTIN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1599 J ST, BLDG 109, GFAFB, ND 58205
(701) 747-4460
(757) 788-0969
Mailing address
1599 J ST, BLDG 109, GFAFB, ND 58205
(701) 747-4460
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008310
VA
Other
Enumeration date
10/22/2013
Last updated
04/10/2015
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