Individual
CHRISTINA FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 S UNION ST, OPELOUSAS, LA 70570-6029
(337) 831-4758
Mailing address
805 S UNION ST, OPELOUSAS, LA 70570-6029
(337) 831-4758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7369
LA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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