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1770934200
VICKIE FOUNTAIN
MONROE, LA
NPI
1770934200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 5515)
Enumeration Date
2016-06-27
Last Update Date
2016-06-27
Business Address
-- VICKIE FOUNTAIN LMSW
806 N 31ST ST SUITE B
MONROE, LA 71201-3900
Phone number: 318-737-7794
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Mailing Address
-- VICKIE FOUNTAIN LMSW
806 N 31ST ST SUITE B
MONROE, LA 71201-3900
Phone number: 318-737-7794
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