JOHN E FONTAINE

JACKSON, MS
NPI1093818064
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist Clinical Child & Adolescent
(Licence: MS  30429)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
DR. JOHN E FONTAINE PH.D.
1855 CRANE RIDGE DR STE A
JACKSON, MS 39216-4944
Phone number: 601-982-8700
Mailing Address
DR. JOHN E FONTAINE PH.D.
1855 CRANE RIDGE DR STE A
JACKSON, MS 39216-4944
Phone number: 601-982-8700
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