Channell Fortt
NPI #1790420230 in Princess Anne, Maryland
Provider Information
- NPI Number
- 1790420230
- Entity Type
- Individual
- Name
- Channell Fortt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Enumeration Date
- Apr 29, 2022
- Last Updated
- Apr 29, 2022
Practice Location
- Address
- 30435 MOUNT VERNON RD
- City
- Princess Anne
- State
- Maryland
- ZIP Code
- 21853-1437
- Phone
- (443) 754-2164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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