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1528123668
FONTAINE MICHELE EWELL
BALTIMORE, MD
NPI
1528123668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MD 04047)
Enumeration Date
2006-12-27
Last Update Date
2007-07-31
Business Address
Dr. FONTAINE MICHELE EWELL PhD
711 W 40TH ST THE ROTUNDA SUITE 456B
BALTIMORE, MD 21211-2120
Phone number: 410-274-5911
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Mailing Address
Dr. FONTAINE MICHELE EWELL PhD
711 W 40TH ST THE ROTUNDA SUITE 456B
BALTIMORE, MD 21211-2120
Phone number: 410-274-5911
Copy
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