Individual
MELISSA ROREX FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9064 HIGHWAY 431 S, OWENS CROSS ROADS, AL 35763-8932
(256) 725-3722
(208) 498-4045
Mailing address
9064 HIGHWAY 431 S, P. O BOX 305, OWENS CROSS ROADS, AL 35763-8932
(256) 725-3722
(208) 498-4045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1450C
AL
Other
Enumeration date
07/09/2013
Last updated
12/31/2015
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