Individual
LAURA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 N BENJAMIN LN, BOISE, ID 83704-9623
(317) 480-6360
Mailing address
18846 W WOODDALE TRL, LAKE VILLA, IL 60046-6752
(317) 480-6360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.110795
IL
104100000X
Social Worker
43756
ID
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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