Individual
CORINNE MARIA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 PEARL ST NW STE 341, GRAND RAPIDS, MI 49503
(847) 668-4097
Mailing address
40 PEARL ST NW STE 341, GRAND RAPIDS, MI 49503-3028
(847) 668-4097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149015093
IL
1041C0700X
Clinical Social Worker
Primary
6801100792
MI
1041S0200X
School Social Worker
24427661
IL
Other
Enumeration date
08/06/2012
Last updated
11/02/2018
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