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Individual

MS. ANNETTE LOUISE FORTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW ACSW CAC-II

Contact information

Practice address
1535 INDUSTRIAL PARK DR, HART, MI 49420-8377
(517) 231-6550
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801035655
MI
1041C0700X
Clinical Social Worker
Primary
6801035655
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6224761
UBH
MI
Enumeration date
08/17/2006
Last updated
05/13/2026
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