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1548094592
JAIMIE LYNNE FOUNTAIN
WILLIAMSVILLE, NY
NPI
1548094592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
JAIMIE LYNNE FOUNTAIN LMSW, LMHC
6350 MAIN ST
WILLIAMSVILLE, NY 14221-5821
Phone number: 716-783-3100
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Mailing Address
JAIMIE LYNNE FOUNTAIN LMSW, LMHC
61 JUNE DR
ELMA, NY 14059-9203
Phone number: 716-864-7052
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