EBONI NICOLE FOUNTAIN

BEAR, DE
NPI1164238945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date2024-12-06
Last Update Date2024-12-06
Business Address
EBONI NICOLE FOUNTAIN
108 GROVE MANSION WAY
BEAR, DE 19701-1435
Phone number: 302-275-8938
Mailing Address
EBONI NICOLE FOUNTAIN
108 GROVE MANSION WAY
BEAR, DE 19701-1435
Phone number: 302-275-8938
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