Individual
ANGE KAY FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 E MAIN ST STE 112, WAXAHACHIE, TX 75165
(214) 995-9566
Mailing address
209 E MAIN ST STE 112, WAXAHACHIE, TX 75165-3755
(214) 995-9566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
38707
TX
Other
Enumeration date
10/09/2008
Last updated
05/24/2018
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