Individual
PAIGE FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 N GRAND AVE, WAUKESHA, WI 53186-4984
(262) 542-0580
Mailing address
403 N GRAND AVE, WAUKESHA, WI 53186-4984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4474-226
WI
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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