Individual
CONSTANCE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 235-7341
Mailing address
1810 12TH AVE S, MOORHEAD, MN 56560-6225
(651) 276-1182
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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