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Individual

MISS KEELY ROCHANDALEY FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2638
GA
101YP2500X
Professional Counselor
Primary
LPC2638
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
909054024B
GA
Enumeration date
09/06/2006
Last updated
07/09/2025
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