Individual
MS. AVIS FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
34 MURRAY ST., WATERBURY, CT 06710
(203) 756-8317
(203) 756-8310
Mailing address
34 MURRAY ST., WATERBURY, CT 06710
(203) 756-8317
(203) 756-8310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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