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1538654447
KENIA FOUNTAIN
DES MOINES, IA
NPI
1538654447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 091172)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
KENIA FOUNTAIN
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number: 515-244-2267
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Mailing Address
KENIA FOUNTAIN
2116 GRAND AVE
DES MOINES, IA 50312-5310
Phone number:
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