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Individual

LEISHA DANIELLE FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
460 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 286-4141
Mailing address
460 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 286-4141

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
7198
TN

Other

Enumeration date
05/02/2019
Last updated
06/10/2022
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