Individual
BREANNA HALLEE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
(907) 452-8251
Mailing address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
232159
AK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/18/2022
Last updated
03/21/2025
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