Kelly Ann Fortino

NPI #1427399104 in Grayling, Michigan

Provider Information

NPI Number: 1427399104
Entity Type: Individual
Name: Kelly Ann Fortino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 6, 2013
Last Updated: Mar 6, 2013

Practice Location

Address: 204 MEADOWS DR
City: Grayling
State: Michigan
ZIP Code: 49738-2013
Phone: (989) 348-0017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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