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JULIA L FOSTER LISW-S
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1700055373
Individual Registrant: JULIA L FOSTER LISW-S
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3333 BURNET AVENUE ML 3014 CINCINNATI, OH 45229 US
Tel: 513-636-4788 Fax: 513-636-4283
Tel: 513-636-4788 Fax: 513-636-4283
Contact information for business:
3333 BURNET AVENUE ML 3014 CINCINNATI, OH 45229-3026 US
Tel: 513-636-4788 Fax: 513-636-4283
Tel: 513-636-4788 Fax: 513-636-4283
Registration Information:
NPI: 1700055373
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | OH | I0800038 |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | OH | I.0800038-SUPV |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CAQH | 11873297 | OH | 01 |
