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1538682794
BERTHA FOUNTAIN
BRONX, NY
NPI
1538682794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 034693)
Enumeration Date
2017-07-19
Last Update Date
2017-07-19
Business Address
Ms. BERTHA FOUNTAIN
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 212-203-2213
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Mailing Address
Ms. BERTHA FOUNTAIN
39 DAVENPORT AVE APT 3G
NEW ROCHELLE, NY 10805-3407
Phone number: 212-203-2213
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