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Organization
FOUNTAIN OF WISDOM AND HOPE LLC
Active
Organization
FOUNTAIN OF WISDOM AND HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINETTE MALLETT LPC (CEO)
(517) 684-0577
Entity
Organization
Contact information
Practice address
4710 W SAGINAW HWY STE 9, LANSING, MI 48917-2654
(517) 615-8312
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
08/17/2023
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