Carol G Fortune Lcsw PA
NPI #1295292472 in The Villages, Florida
Provider Information
- NPI Number
- 1295292472
- Entity Type
- Organization
- Organization Name
- Carol G Fortune Lcsw PA
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 25, 2019
- Last Updated
- Mar 4, 2019
Practice Location
- Address
- 1522 GOLDEN RIDGE DR
- City
- The Villages
- State
- Florida
- ZIP Code
- 32162-6765
- Phone
- (352) 638-2264
Authorized Official
- Name
- MRS. CAROL G FORTUNE, LCSW
- Title
- OWNER
- Phone
- (352) 638-2264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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