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1649017815
ELLEN FONTAINE
DAYTONA BEACH, FL
NPI
1649017815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL ISW18455)
Enumeration Date
2024-07-13
Last Update Date
2024-07-13
Business Address
ELLEN FONTAINE
728 FENTRESS BLVD
DAYTONA BEACH, FL 32114-1214
Phone number: 386-272-7440
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Mailing Address
ELLEN FONTAINE
728 FENTRESS BLVD
DAYTONA BEACH, FL 32114-1214
Phone number: 386-272-7440
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