Miss. Krystal Lynnette Fountain
Miss. Krystal Lynnette Fountain is a Developmental Therapist in Chicago, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
7806 S Wood StChicago, IL 60620-4446
Phone: (773) 633-7466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1538680996 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 6, 2017 |
| Last updated in NPPES | July 6, 2017 |
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