VICTORIA FOUNTAIN

POWDER SPRINGS, GA
NPI1437504966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW005684)
Enumeration Date2016-05-03
Last Update Date2016-05-03
Business Address
Miss VICTORIA FOUNTAIN
47 LAKELAND CT
POWDER SPRINGS, GA 30127-8774
Phone number: 678-717-7952
Mailing Address
Miss VICTORIA FOUNTAIN
47 LAKELAND CT
POWDER SPRINGS, GA 30127-8774
Phone number: 678-717-7952
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