Individual
MRS. CANICIA QUEENCY SMITH FOSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 NW 5TH ST STE 203, PLANTATION, FL 33317-1613
(954) 529-7429
Mailing address
9479 NW 38TH PL, SUNRISE, FL 33351-5909
(954) 529-7429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH24093
FL
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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