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1023035086
VICKI LEE LAFOUNTAIN
MENASHA, WI
NPI
1023035086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7227-123)
Enumeration Date
2006-07-16
Last Update Date
2007-07-08
Business Address
Ms. VICKI LEE LAFOUNTAIN LCSW
1478 KENWOOD CTR
MENASHA, WI 54952-1161
Phone number: 920-886-9319
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Mailing Address
Ms. VICKI LEE LAFOUNTAIN LCSW
3027 RIVERSIDE AVE
MARINETTE, WI 54143-1121
Phone number: 715-587-2763
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