JENNA SUE FOUNTAIN

ANDOVER, KS
NPI1093582942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KS  03267-T)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
JENNA SUE FOUNTAIN
221 E KING ST
ANDOVER, KS 67002-8964
Phone number: 316-733-5047
Mailing Address
JENNA SUE FOUNTAIN
520 E AUGUSTA AVE
AUGUSTA, KS 67010-2100
Phone number:
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