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Individual
MRS. SEANA TODD FORTUNE
Active
Individual
MRS. SEANA TODD FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC LSW LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001266
OH
101YM0800X
Mental Health Counselor
Primary
E0008398
OH
104100000X
Social Worker
S19914
OH
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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