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1861000978
LAUREN GAY FONTENOT
GREENVILLE, SC
NPI
1861000978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: SC 1558)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
DR. LAUREN GAY FONTENOT PH.D.
3453 PELHAM RD STE 107
GREENVILLE, SC 29615-7400
Phone number: 864-800-9353
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Mailing Address
DR. LAUREN GAY FONTENOT PH.D.
120 TINDAL AVE
GREENVILLE, SC 29605-2839
Phone number: 706-207-3511
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