Individual
REBECCA RENAE CRAWFORD FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 SOLDIER CREEK CIRCLE, ROSEBUD IHS HOSPITAL, ROSEBUD, SD 57570-0400
(605) 747-2311
(605) 747-5092
Mailing address
400 SOLDIER CREEK CIRCLE, ROSEBUD IHS HOSPITAL, ROSEBUD, SD 57570-0400
(605) 747-2311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1413
MT
101YP2500X
Professional Counselor
7121
SD
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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