VICKIE FOUNTAIN

MONROE, LA
NPI1770934200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: LA  5515)
Enumeration Date2016-06-27
Last Update Date2016-06-27
Business Address
VICKIE FOUNTAIN LMSW
806 N 31ST ST SUITE B
MONROE, LA 71201-3900
Phone number: 318-737-7794
Mailing Address
VICKIE FOUNTAIN LMSW
806 N 31ST ST SUITE B
MONROE, LA 71201-3900
Phone number: 318-737-7794
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