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NPI Code Detail

MEDICARE: JULIE A FOUTS LCSW

MEDICARE: JULIE A FOUTS LCSW
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
1104100000XSocial Worker2876WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255363487
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A FOUTS LCSW
Provider Business Mailing Address
First Line : 17 S RIVER ST STE 254
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-3863
Country : US
Telephone Number : 608-755-5260
Fax Number : 608-755-5267
Provider Business Practice Location Address
First Line : 17 S RIVER ST STE 254
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-3863
Country : US
Telephone Number : 608-755-5260
Fax Number : 608-755-5267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/20/2024

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Directions to “ JULIE A FOUTS LCSW” Practice Location

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