TINA MARCELLE FOUNTAIN

MILFORD, DE
NPI1427300466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: DE  B1-0000807)
Additional Taxonomies103T00000X Psychologist
(Licence: NY  018018-1)
Enumeration Date2012-10-15
Last Update Date2013-04-19
Business Address
Dr. TINA MARCELLE FOUNTAIN
1131 AIRPORT RD
MILFORD, DE 19963-6418
Phone number: 443-477-2156
Mailing Address
Dr. TINA MARCELLE FOUNTAIN
85 ABIGAIL LN
MAGNOLIA, DE 19962-3251
Phone number: 443-477-2156
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