Individual
RONICA DENISE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
7068 DORN CIR, CHARLOTTE, NC 28212-6407
(704) 519-9561
Mailing address
7068 DORN CIR, CHARLOTTE, NC 28212-6407
(704) 519-9561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1915
NC
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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