Individual
MARY FORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
915 SHERIDAN ST STE B103, PORT TOWNSEND, WA 98368-2931
(360) 385-4848
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/09/2018
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