Provider Information for 1750838512
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ERIN FOSTER LPCC
Sex: Female
NPI: 1750838512
Last Updated: 2018-10-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750838512 | ||||||||||||
| Enumeration Date | 2016-09-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 601 S EDWIN C MOSES BLVD DAYTON, OH 45417-3424 United States Phone: 937-734-8333 | Fax:937-342-4242 | ||||||||||||
| Primary Practice Address | 601 S EDWIN C MOSES BLVD DAYTON, OH 45417-3424 United States Phone: 937-734-8333 | Fax:937-525-4541 | ||||||||||||
| Secondary Practice Address(es) | 474 N YELLOW SPRINGS ST | ||||||||||||
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