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MS. AUBREY LOUISE FOUNTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2 SOUTH ST, WARE, MA 01082-1651
(413) 302-1742
Mailing address
130 MAPLE ST STE 325, SPRINGFIELD, MA 01103-2215
(413) 737-9544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/09/2011
Last updated
04/23/2020
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