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Contact Information

BRYANNE E FOUNTAIN
2500 HALL AVENUE
SUITE A
MARINETTE, WI54143
 Phone: 715-732-7760
 Fax: 715-732-7711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for BRYANNE E FOUNTAIN · (Female)

NPI # 1326214230
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2008
Last updated 12/08/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 9013-123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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