Individual
STEPHANIE SMITH FOSTVEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 N HILLCREST PKWY, SUITE201, ALTOONA, WI 54720-2584
(715) 832-8432
(715) 832-5007
Mailing address
2519 N HILLCREST PARKWAY, SUITE201, ALTOONA, WI 54720-2588
(715) 832-8432
(715) 832-5007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1704-226
WI
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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