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Individual
MEGAN LOUISE FOUNTAIN
Active
Individual
MEGAN LOUISE FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
FL
Enumeration date
10/19/2022
Last updated
10/19/2022
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