KATHLEEN FOUNTAIN

ALEXANDRIA, VA
NPI1295311918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904012417)
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
KATHLEEN FOUNTAIN LCSW
4813B EISENHOWER AVE
ALEXANDRIA, VA 22304-4832
Phone number: 571-402-2541
Mailing Address
KATHLEEN FOUNTAIN LCSW
3400 S BRAHMA BLVD APT 30A
KINGSVILLE, TX 78363-7341
Phone number: 703-201-3191
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