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Individual

LISA FORTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10601 N HAYDEN RD, SUITE I-103, SCOTTSDALE, AZ 85260-5687
(916) 606-6230
Mailing address
10601 N HAYDEN RD, SUITE I-103, SCOTTSDALE, AZ 85260-5687
(916) 606-6230

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16143
AZ

Other

Enumeration date
10/23/2016
Last updated
10/23/2016
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