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Individual
DR. DESHUNDRIA L FORTSON
Active
Individual
DR. DESHUNDRIA L FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC14289
MD
101Y00000X
Counselor
Primary
PRC200001619
DC
Other
Enumeration date
08/21/2023
Last updated
03/13/2024
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