Individual
CAROLYN M FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 E 2ND AVE STE 100, CONSHOHOCKEN, PA 19428-1880
(610) 635-5677
(610) 828-4910
Mailing address
1101 NEW DEHAVEN ST, CONSHOHOCKEN, PA 19428-2742
(610) 635-5677
(610) 828-4910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016832
PA
Other
Enumeration date
09/06/2012
Last updated
11/01/2024
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