MISS Victoria Teresa Fortner III

NPI #1790814747 in Bryant, Arkansas

Provider Information

NPI Number
1790814747
Entity Type
Individual
Name
MISS Victoria Teresa Fortner III
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Mar 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
12100 FIELDSTONE LN APT M65
City
Bryant
ZIP Code
72022-6257
Phone
(501) 594-5200

Specialties & Taxonomy Codes

Specialty
Counselor

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