STACEY M FONTAINE

MYRTLE BEACH, SC
NPI1831676857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: SC  5553)
Enumeration Date2018-07-23
Last Update Date2018-12-03
Business Address
STACEY M FONTAINE LMSW
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577-1893
Phone number: 843-477-0177
Mailing Address
STACEY M FONTAINE LMSW
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577-1893
Phone number: 843-477-0711
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