REBECCA FOUNTAIN

PADUCAH, KY
NPI1063902849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KY  174287)
Enumeration Date2018-05-16
Last Update Date2018-05-16
Business Address
REBECCA FOUNTAIN LPA
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-9767
Mailing Address
REBECCA FOUNTAIN LPA
1640 JEFFERSON ST APT 203
PADUCAH, KY 42001-2721
Phone number: 270-559-9547
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