Individual
MRS. KELSEY LEE FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
500 N 3RD ST, HOMER, LA 71040-3440
(318) 927-2496
Mailing address
500 N 3RD ST, HOMER, LA 71040-3440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/01/2024
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