Doctor Name: | MS. VICKI LEE LAFOUNTAIN |
NPI Number: | 1023035086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 7227-123 |
Business Practice Address: | 1478 Kenwood Ctr Menasha, WI - 549521161 |
Business Phone Number: | 9208869319 |
Business Fax Number: | 9208869357 |
Mailing Address: | 3027 Riverside Ave, MARINETTE |
State: | WI |
Postal Code: | 541431121 |
Phone Number: | 7155872763 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7227-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |