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1295509420
AMANDA FONTAINE-ISKRA
MIDDLETOWN, CT
NPI
1295509420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 6945)
Enumeration Date
2023-11-08
Last Update Date
2023-12-01
Business Address
AMANDA FONTAINE-ISKRA LPC
675 MAIN ST
MIDDLETOWN, CT 06457-2732
Phone number: 860-347-6971
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Mailing Address
AMANDA FONTAINE-ISKRA LPC
575 MAIN ST STE 2
MIDDLETOWN, CT 06457-0010
Phone number: 860-347-6971
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