CONRAD FOUNTAINE

CHERRY HILL, NJ
NPI1316320807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44sc00746700)
Enumeration Date2015-07-02
Last Update Date2015-07-02
Business Address
-- CONRAD FOUNTAINE LCSW
1930 MARLTON PIKE E STE R91
CHERRY HILL, NJ 08003-4207
Phone number: 856-816-7114
Mailing Address
-- CONRAD FOUNTAINE LCSW
1930 MARLTON PIKE E STE R91
CHERRY HILL, NJ 08003-4207
Phone number: 856-816-7114
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