Jessica Elizabeth Fortin, LICSW

NPI #1184107450 in Bridgewater, Massachusetts

Provider Information

NPI Number
1184107450
Entity Type
Individual
Name
Jessica Elizabeth Fortin, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Sep 12, 2018
Last Updated
Sep 12, 2018

Practice Location

Address
1 ADMINISTRATION RD
ZIP Code
02324-3230
Phone
(508) 614-5206

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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