Vicki Lee Lafountain LCSW

NPI 1023035086 - Social Worker - 1041C0700X

NPI Details
NPI 1023035086
Gender Female
Enumeration Date 07/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1478 KENWOOD CTR
MENASHA WI, 54952-1161, US
Phone (920) 886-9319
Fax (920) 886-9357
Business Location
3027 RIVERSIDE AVE
MARINETTE WI, 54143-1121, US
Phone (715) 587-2763
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 7227-123
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According to our database, Ms. Vicki Lee Lafountain LCSW NPI is 1023035086, taxonomy code is 1041C0700X and license number is 7227-123, license state is located at Wisconsin. Vicki Lee Lafountain LCSW physically located at 1478 Kenwood Ctr, Menasha WI, 54952-1161. NPI Number Vicki Lee Lafountain LCSW has the Individual type.

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1023035086 NPI number is provided on an as is basis without warranty of any kind. 1023035086 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Lee Lafountain LCSW are for informational purposes only.