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1417402017
KORIN YVETTE FONTAINE
MISSOULA, MT
NPI
1417402017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-63665)
Enumeration Date
2016-08-24
Last Update Date
2023-12-12
Business Address
KORIN YVETTE FONTAINE
2415 S CATLIN ST
MISSOULA, MT 59801-7822
Phone number: 406-549-0114
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Mailing Address
KORIN YVETTE FONTAINE
2415 S CATLIN ST
MISSOULA, MT 59801-7822
Phone number: 406-549-0114
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