Carol Fontenot

NPI #1750777256 in Jefferson, Louisiana

Provider Information

NPI Number: 1750777256
Entity Type: Individual
Name: Carol Fontenot
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 10, 2015
Last Updated: Apr 10, 2015

Practice Location

Address: 3324 AUDUBON TRCE
City: Jefferson
State: Louisiana
ZIP Code: 70121-1588
Phone: (504) 834-6771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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