Individual
JACQUALINE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
Mailing address
8402 S C ST # B12, TACOMA, WA 98444-6434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60893546
WA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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