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Individual

MRS. ERIN SUZANNE FORTUNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
GCDF, LPC

Contact information

Practice address
9844 DIXIE HWY, IRA, MI 48023-2813
(586) 716-7600
Mailing address
60 HUBBARD ST, MOUNT CLEMENS, MI 48043-5517
(586) 909-1798

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010920
MI

Other

Enumeration date
05/15/2012
Last updated
05/15/2012
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