Individual
ERICA FORTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 POWDER SPRINGS ST, C-17, MARIETTA, GA 30064
(470) 502-6310
Mailing address
3220 OVERLAND DR, ROSWELL, GA 30075-8905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW011862
GA
Other
Enumeration date
11/13/2025
Last updated
12/14/2025
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