Individual
MS. ANNETTE LOUISE FORTINO
Active
Individual
MS. ANNETTE LOUISE FORTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW ACSW CAC-II
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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