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Organization
MIND AFTER MIND INC
Active
Organization
MIND AFTER MIND INC
Active
Other names
Kedeisha Fountain
Organization subpart
No
Provider details
NPI number
Authorized official
KEDEISHA SAMANTHA FOUNTAIN LPC (PSYCHOTHERAPIST)
(475) 243-8875
Entity
Organization
Contact information
Practice address
821 SUCCESS AVE, STRATFORD, CT 06614-3731
(475) 243-8875
Mailing address
821 SUCCESS AVE, STRATFORD, CT 06614-3731
(475) 243-8875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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