TINA M. FOUNTAIN

RICHMOND, VA
NPI1417944992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904005723)
Enumeration Date2005-09-30
Last Update Date2016-10-26
Business Address
-- TINA M. FOUNTAIN LCSW
2006 BREMO RD SUITE 101
RICHMOND, VA 23226-2438
Phone number: 804-288-1881
Mailing Address
-- TINA M. FOUNTAIN LCSW
2006 BREMO RD SUITE 101
RICHMOND, VA 23226-2438
Phone number: 804-288-1881
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