Provider Information for 1770835746
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MARY CASSANDRA FOSTER LCSW-R
Other Names:Professional Name:M. CASSANDRA FOSTER LCSW-RSex: Female
NPI: 1770835746
Last Updated: 2024-09-05
Certification Date: 2024-09-05
Certification Date: 2024-09-05
Details
Name | Value | ||||||||||||
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NPI | 1770835746 | ||||||||||||
Enumeration Date | 2012-10-15 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 26 BELDEN AVE UNIT 1405 NORWALK, CT 06850-3368 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 26 BELDEN AVE UNIT 1405 NORWALK, CT 06850-3368 United States Phone: 718-877-6505 | Fax: | ||||||||||||
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