Individual
KRISTIE N FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2848 PLEASANT RD, FORT MILL, SC 29708-9490
(800) 779-4089
Mailing address
2310 PINE RUN, TEGA CAY, SC 29708-8328
(434) 665-7214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7235
SC
Other
Enumeration date
07/20/2011
Last updated
04/21/2025
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