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MELISSA ROREX FOUNTAIN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1104267913

Individual Registrant:
 MELISSA ROREX FOUNTAIN LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9064 HIGHWAY 431 S  OWENS CROSS ROADS, AL 35763-8932 US
Tel: 256-725-3722  Fax: 208-498-4045

Contact information for business:
9064 HIGHWAY 431 S P. O BOX 305 OWENS CROSS ROADS, AL 35763-8932 US
Tel: 256-725-3722  Fax: 208-498-4045

Registration Information:
NPI: 1104267913
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AL1450C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1

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