Organization
ALEXIE FOSTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIE FOSTER LPC (THERAPIST)
(918) 928-5772
Entity
Organization
Contact information
Practice address
16802 S 301ST WEST AVE, BRISTOW, OK 74010-2265
(918) 928-5772
Mailing address
16802 S 301ST WEST AVE, BRISTOW, OK 74010-2265
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200417400A
—
OK
Enumeration date
08/17/2020
Last updated
08/17/2020
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