Sally Jane Fontaine, LCSW
Social Worker, Clinical in Punta Gorda, FL. Individual provider (NPI-1).
NPI number1285962811
StatusActive
Last updated in NPPESApr 11, 2014
Details
- NPI
- 1285962811
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sally Jane Fontaine
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2009
- Last updated
- Apr 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW6857 | FL | Yes |
Practice location
1700 Education AvePunta Gorda, FL 33950-6222
Phone 941-639-8300 · Fax 941-347-6493
Mailing address
1700 Education AvePunta Gorda, FL 33950-6222
Phone 941-639-8300 · Fax 941-347-6493
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