Individual
JUDY FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3922 UNION ST, LEVANT, ME 04456-4357
(207) 356-5466
Mailing address
PO BOX 370, LEVANT, ME 04456-0370
(207) 356-5466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC 11975
ME
1041C0700X
Clinical Social Worker
Primary
LC11975
ME
Other
Enumeration date
03/20/2007
Last updated
09/28/2023
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