Individual
SHELBY FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
Mailing address
224 WILBUR AVE, SWANSEA, MA 02777-2628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04183
RI
Other
Enumeration date
02/14/2020
Last updated
12/30/2025
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