Individual
EBONY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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