Individual
RICKY FONTENETTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 1400, LITTLE ROCK, AR 72203-1400
(501) 372-5039
Mailing address
PO BOX 1400, LITTLE ROCK, AR 72203-1400
(501) 372-5039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/10/2024
Last updated
10/18/2024
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