GERALD DAVID FONTAINE

PROVIDENCE, RI
NPI1750483277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: RI  PS116)
Enumeration Date2006-09-04
Last Update Date2007-07-08
Business Address
Dr. GERALD DAVID FONTAINE PHD
414 BROADWAY
PROVIDENCE, RI 02909-1621
Phone number: 401-272-5665
Mailing Address
Dr. GERALD DAVID FONTAINE PHD
414 BROADWAY
PROVIDENCE, RI 02909-1621
Phone number: 401-272-5665
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