Individual
SUSAN FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 S. DELAWARE PL, TULSA, OK 74104
(918) 746-6187
Mailing address
1328 S DELAWARE PL, TULSA, OK 74104-4836
(918) 746-6187
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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