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Individual

DOLLY FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BHA

Contact information

Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752-0256
(907) 442-7640
(907) 442-7649
Mailing address
P.O.BOX 256, MANIILAQ ASSOCIATION, BEHAVIORAL HEALTH, KOTZEBUE, AK 99752
(907) 442-7640
(907) 442-7749

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
01/06/2017
Last updated
01/06/2017
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