Individual
MS. FONDA KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3712 VAUCLUSE DR APT 124, EULESS, TX 76040-7406
(616) 724-8520
Mailing address
3712 VAUCLUSE DR APT 124, EULESS, TX 76040-7406
(616) 724-8520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110348
MI
Other
Enumeration date
08/02/2024
Last updated
06/30/2025
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