I have a 4a narrow foot too! I buy every single last pair of my shoes from beren.com. They have International Shipping and a pretty good selection. A bit pricey but they do run sales from time to time. Norstrom has a few pairs of shoes too but Beren seems to be the best because they have more brands to choose from. I have not tried yet, but shoesofprey will make a 4a narrow size 10 shoe as well. It costs $20 extra to have it made in your size and shipping is $30.
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