Marie A Fontaine, LICSW
NPI #1861584138 in North Kingstown, Rhode Island
Provider Information
- NPI Number
- 1861584138
- Entity Type
- Individual
- Name
- Marie A Fontaine, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Feb 17, 2018
Practice Location
- Address
- 119 FAIRFIELD DR
- City
- North Kingstown
- State
- Rhode Island
- ZIP Code
- 02852-1953
- Phone
- (401) 261-1297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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