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NPI Code Detail

MEDICARE: MRS. AMBER MONIQUE FOSTER LCSW-S

MEDICARE: MRS. AMBER MONIQUE FOSTER LCSW-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker61601TX

General Provider Information

NPI Number : 1548734544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER MONIQUE FOSTER LCSW-S
Provider Business Mailing Address
First Line : 9800 HILLWOOD PKWY STE 140 PMB#22
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-1532
Country : US
Telephone Number : 469-772-0904
Fax Number :
Provider Business Practice Location Address
First Line : 9800 HILLWOOD PKWY STE 140 PMB#22
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-1532
Country : US
Telephone Number : 469-772-0904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2019
Last Update Date : 03/09/2022

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