Fontenot, Debra Lynn
Fontenot, Debra Lynn is an sole proprietor health care provider with primary practice located at 5225 Cornwall Estates Dr , Saint Louis MO 63129-1543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fontenot, Debra Lynn can be contacted via phone (314) 646-9970.Contact Information
Primary practice address
5225 Cornwall Estates Dr
Saint Louis MO 63129-1543
Phone: (314) 646-9970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2000163664 | Missouri |
Profile Details
| NPI number | 1962777508 |
|---|---|
| LBN Legal business name | Fontenot, Debra Lynn |
| Credentials | M.S.W. L.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2012 |
| Last updated | Mar 15th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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