Individual
KORIN YVETTE FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 S CATLIN ST, MISSOULA, MT 59801-7822
(406) 549-0114
(406) 549-0267
Mailing address
2415 S CATLIN ST, MISSOULA, MT 59801-7822
(406) 549-0114
(406) 549-0267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-63665
MT
Other
Enumeration date
08/24/2016
Last updated
12/12/2023
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