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Individual

KAREN ANN FONTAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
87 PHELPS RD, MANCHESTER, CT 06042-3209
(860) 614-2388
Mailing address
87 PHELPS RD, MANCHESTER, CT 06042-3209
(860) 614-2388

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/29/2019
Last updated
01/29/2019
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