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Individual

KRISTINA ANNE FORTINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
205 WATERMAN ST STE 202, PROVIDENCE, RI 02906-4313
(401) 433-9812
Mailing address
6 CHANNING AVE, PROVIDENCE, RI 02906-5511
(508) 942-5075

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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