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Individual
ROBERTA A. FONTAINE
Active
Individual
ROBERTA A. FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4336C
AL
1041C0700X
Clinical Social Worker
SW10000
FL
Other
Enumeration date
09/24/2010
Last updated
11/30/2020
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