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1962777508
DEBRA LYNN FONTENOT
SAINT LOUIS, MO
NPI
1962777508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2000163664)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
Ms. DEBRA LYNN FONTENOT M.S.W. L.C.S.W.
5225 CORNWALL ESTATES DR
SAINT LOUIS, MO 63129-1543
Phone number: 314-646-9970
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Mailing Address
Ms. DEBRA LYNN FONTENOT M.S.W. L.C.S.W.
5225 CORNWALL ESTATES DR
SAINT LOUIS, MO 63129-1543
Phone number: 314-646-9970
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