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Individual

KELLY RAWLS FOUNTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., L.P.T.

Contact information

Practice address
2864 DAUPHIN ST, SUITE A, MOBILE, AL 36606-2479
(251) 470-7607
(251) 470-7609
Mailing address
2864 DAUPHIN ST, SUITE A, MOBILE, AL 36606-2479
(251) 470-7607
(251) 470-7609

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1586
AL

Other

Enumeration date
02/09/2010
Last updated
02/04/2013
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