PORTIA L FOUNTAIN

OXFORD, MS
NPI1578074845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S2883)
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
Mrs. PORTIA L FOUNTAIN MS CCC-SLP
12007 WATER RIDGE DR
OXFORD, MS 38655-6015
Phone number: 662-801-8064
Mailing Address
Mrs. PORTIA L FOUNTAIN MS CCC-SLP
12007 WATER RIDGE DR
OXFORD, MS 38655-6015
Phone number: 662-801-8064
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