MRS. Carol G Fortune, LICSW

NPI #1578673083 in Lady Lake, Florida

Provider Information

NPI Number
1578673083
Entity Type
Individual
Name
MRS. Carol G Fortune, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Aug 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1522 GOLDEN RIDGE DR
State
Florida
ZIP Code
32162-6765
Phone
(352) 638-2264

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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