KEDEISHA FOUNTAIN
Counselor - Professional
Active
Individual
NPI: 1184897084
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | - |
Frequently Asked Questions
NPI 1184897084 is the National Provider Identifier for KEDEISHA FOUNTAIN, a Counselor - Professional provider located in Stratford, CT. This NPI was enumerated on April 11, 2008.
KEDEISHA FOUNTAIN practices at 821 SUCCESS AVE, Stratford, CT 06614.
Quick Facts
- NPI
- 1184897084
- Type
- Individual
- Enumerated
- Apr 11, 2008
- Last Updated
- Oct 12, 2023
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