Individual
SANDRA M FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4351 JAGER DR NE, SUITE C, RIO RANCHO, NM 87144-7523
(505) 410-5686
Mailing address
4 CAMINO MESTENO, PLACITAS, NM 87043-8623
(505) 771-9279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06875
NM
Other
Enumeration date
10/17/2006
Last updated
12/14/2009
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