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Individual

MRS. BARBARA ANNE FOUSEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, M.ED. LCSW,ACSW

Contact information

Practice address
706 GREEN VALLEY RD, SUITE 100, GREENSBORO, NC 27408-7038
(336) 272-1972
(336) 510-9937
Mailing address
706 GREEN VALLEY RD, SUITE 100, GREENSBORO, NC 27408-7038
(336) 272-1972
(336) 510-9937

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001156
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26-0758808
PROVIDER TAX ID
ND
05
6007916
NC
Enumeration date
02/10/2006
Last updated
04/18/2012
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