Individual
GLENN ANDREW FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1090 N 10TH ST, KALAMAZOO, MI 49009-5733
(269) 375-4363
Mailing address
2520 BENTON AVE, KALAMAZOO, MI 49008-2733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013369
MI
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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