Individual
MRS. CHRISTINA FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P, CCC-SLP
Contact information
Practice address
6827 PROVIDENCE LN W, CHARLOTTE, NC 28226-7749
(704) 222-7274
Mailing address
6827 PROVIDENCE LN W, CHARLOTTE, NC 28226-7749
(704) 222-7274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7689
NC
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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