Lafountain, Vicki Lee

Lafountain, Vicki Lee is an individual health care provider with primary practice located at 1478 Kenwood Ctr , Menasha WI 54952-1161. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lafountain, Vicki Lee can be contacted via phone (920) 886-9319.

Contact Information

Primary practice address
1478 Kenwood Ctr Menasha WI 54952-1161
Phone: (920) 886-9319
Fax: (920) 886-9357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7227-123 Wisconsin

Profile Details

NPI number 1023035086
LBN Legal business name Lafountain, Vicki Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023035086 NPPES
Wisconsin MEDICAID 41002500

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