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Individual

MRS. ANN MARIE FONTENOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
16835 DEER CREEK DR STE 120, SPRING, TX 77379-5803
(281) 379-4373
Mailing address
16835 DEER CREEK DR STE 120, SPRING, TX 77379-5803
(281) 379-4373

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13270
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179362201
TX
Enumeration date
06/14/2006
Last updated
02/23/2018
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