Wanda Denise Coates Fountain
NPI #1124717194 in Clinton Township, Michigan
Provider Information
- NPI Number
- 1124717194
- Entity Type
- Individual
- Name
- Wanda Denise Coates Fountain
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- May 4, 2023
- Last Updated
- May 19, 2023
Practice Location
- Address
- 17345 15 MILE RD
- City
- Clinton Township
- State
- Michigan
- ZIP Code
- 48035-2301
- Phone
- (586) 222-2244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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