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Individual

MARY ANNETTE FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PRSS

Contact information

Practice address
607 10TH AVE W, HUNTINGTON, WV 25701-3013
(304) 710-5991
Mailing address
607 10TH AVE W, HUNTINGTON, WV 25701-3013
(304) 710-5991

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
WV

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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