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Individual

TRICIA FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LISAC, RN

Contact information

Practice address
75 N GARDEN AVE, SIERRA VISTA, AZ 85635-3805
(520) 610-0010
Mailing address
75 N GARDEN AVE, SIERRA VISTA, AZ 85635-3805
(520) 610-0010

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11515
AZ
163W00000X
Registered Nurse
249278
AZ
163W00000X
Registered Nurse
Primary
95352829
CA

Other

Enumeration date
02/09/2007
Last updated
11/18/2024
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