Individual
MR. GEORGE LOUIS LAFOUNTAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
65 N MAPLE AVE, #208, RIDGEWOOD, NJ 07450
(201) 444-4228
(973) 667-8147
Mailing address
12 NEWMAN AVE, NUTLEY, NJ 07110-2126
(201) 444-4228
(973) 667-8147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00150900
NJ
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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