Individual
CHRISTY FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
5627 GETWELL RD BLDG C, STE. 2, SOUTHAVEN, MS 38672-7328
(662) 349-2979
Mailing address
324 MEADOW WAY CV, CORDOVA, TN 38018-7309
(901) 270-6785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4733
TN
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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