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Individual

CATHY C FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., NCC, NCSC, LP

Contact information

Practice address
630 FRIARS POINT RD, SUITE E, CLARKSDALE, MS 38614-9161
(662) 902-7651
Mailing address
552 SHADY RIDGE RD, CLARKSDALE, MS 38614-8000
(662) 902-7651

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1341
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46-2646111
INSURANCE PROVIDER
MS
Enumeration date
05/01/2013
Last updated
05/01/2013
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