Individual
JENNIFER ANN FOSTER-MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 N 4TH ST, HAMILTON, MT 59840-2206
(406) 381-0172
Mailing address
P.O. BOX 1226, HAMILTON, MT 59840
(406) 381-0172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
746
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165737
—
MT
05
—
503489
—
MT
01
—
71625
CLINICAL SOCIAL WORKER
MT
Enumeration date
06/07/2007
Last updated
03/17/2018
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