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1114397197
LAURA FONTAINE
BLOOMFIELD, CT
NPI
1114397197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
-- LAURA FONTAINE
693 BLOOMFIELD AVE
BLOOMFIELD, CT 06002-2489
Phone number: 860-243-6584
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Mailing Address
-- LAURA FONTAINE
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-731-5522
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