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1245644764
COLLEEN FOSTER
MERIDIAN, ID
NPI
1245644764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ID 10159)
Enumeration Date
2014-06-12
Last Update Date
2014-06-12
Business Address
COLLEEN FOSTER CADC
2321 E GALA ST SUITE 3
MERIDIAN, ID 83642-7692
Phone number: 208-888-5848
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Mailing Address
COLLEEN FOSTER CADC
2965 E TARPON DR SUITE 150
MERIDIAN, ID 83642-9009
Phone number: 208-888-5848
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