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Individual
MR. THOMAS JK FONTANA
Active
Individual
MR. THOMAS JK FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,LMHC, ADAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0053213
VT
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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