Individual
COLLETTE AGNES FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 MANLEY RD, MAUMEE, OH 43537-9400
(833) 641-0632
Mailing address
1760 MANLEY RD, MAUMEE, OH 43537-9400
(833) 641-0632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183245
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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