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Individual

CHRISTOPHER CHAD FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
100 W 3RD ST STE 304, OWENSBORO, KY 42303-4129
(270) 929-0162
(270) 228-0341
Mailing address
4323 PLANTATION PT, OWENSBORO, KY 42303-7808
(270) 929-0162
(270) 228-0341

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4387
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30615058
KY
01
3360
LICENSE NUMBER
KY
Enumeration date
01/09/2007
Last updated
12/11/2018
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