| Foster Source | |
|
11860 Pecos St Rm 1131 Westminster CO 80234-2740 | |
| (303) 618-4331 | |
| Not Available |
| Full Name | Foster Source |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11860 Pecos St Rm 1131, Westminster, Colorado |
| Authorized Official Name and Position | Kathryn S Smith (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7209799033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster Source 3879 E 120th Ave # 218 Thornton CO 80233-1658 Ph: (303) 618-4331 | Foster Source 11860 Pecos St Rm 1131 Westminster CO 80234-2740 Ph: (303) 618-4331 |
| NPI Number | 1316777386 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316777386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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