Individual
ANGELIQUE FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 W FAYETTE ST APT 1611, BALTIMORE, MD 21201-3471
(443) 604-6635
Mailing address
305 W FAYETTE ST APT 1611, BALTIMORE, MD 21201-3471
(443) 604-6635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24484
MD
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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