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Individual

HEATHER FORTUNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 N MAIN ST, POYNETTE, WI 53955-9329
(608) 879-6135
Mailing address
802 BLUE RIDGE PKWY, MADISON, WI 53705-1148

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1169-228
WI

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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