Individual
MISS ELIZABETH ALISON FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SUMMER ST, SUITE 202A, TAUNTON, MA 02780-3469
(617) 872-4859
(508) 884-2746
Mailing address
35 SUMMER ST, SUITE 202A, TAUNTON, MA 02780-3469
(617) 872-4859
(508) 884-2476
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
03/12/2010
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