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1184897084
KEDEISHA FOUNTAIN
STRATFORD, CT
NPI
1184897084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2008-04-11
Last Update Date
2023-10-12
Business Address
KEDEISHA FOUNTAIN
821 SUCCESS AVE
STRATFORD, CT 06614-3731
Phone number: 475-243-8875
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Mailing Address
KEDEISHA FOUNTAIN
18 CADBURY PLACE
NAUGATUCK, CT 06770
Phone number: 475-243-8875
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