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Individual
DARLA R FOUNTAIN
Active
Individual
DARLA R FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089225901
—
TX
05
—
118613721
—
AR
01
—
528367
BLUE CROSS
TX
01
—
97971
BLUE CROSS
AR
Enumeration date
06/22/2006
Last updated
02/11/2025
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