# MRS. WINNIE W. FANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194039131
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 043255 | NY | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 08/02/2010