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1649683848
Y FOUNTAIN
TUCKER, GA
NPI
1649683848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006900)
Enumeration Date
2014-06-04
Last Update Date
2015-04-04
Business Address
-- Y FOUNTAIN PhD, LPC, RPT
1479 BROCKETT RD SUITE 100
TUCKER, GA 30084-7326
Phone number: 770-375-8124
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Mailing Address
-- Y FOUNTAIN PhD, LPC, RPT
3545 BROAD ST # 80742
ATLANTA, GA 30341-2259
Phone number:
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