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NPI Code Detail

MEDICARE: BRONDA LAMAR FOSTER ASW

MEDICARE:   BRONDA LAMAR FOSTER  ASW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2104100000XSocial Worker131213CA

General Provider Information

NPI Number : 1578741989
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRONDA LAMAR FOSTER ASW
Provider Business Mailing Address
First Line : 4656 E NORWICH AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-2805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1396 W HERNDON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-7126
Country : US
Telephone Number : 559-256-4474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2008
Last Update Date : 09/30/2025

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Directions to “ BRONDA LAMAR FOSTER ASW” Practice Location

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