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1720282833
MICHELE FONTAINE
ENFIELD, CT
NPI
1720282833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000807)
Enumeration Date
2007-06-13
Last Update Date
2012-03-16
Business Address
-- MICHELE FONTAINE LADC
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-253-5020
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Mailing Address
-- MICHELE FONTAINE LADC
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-253-5020
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