Individual
MRS. JAMIE LYNN FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.L.B.S.W.
Contact information
Practice address
901 MEMORIAL RD, HOUGHTON, MI 49931-2475
(906) 884-4804
(906) 482-0369
Mailing address
901 MEMORIAL RD, HOUGHTON, MI 49931-2475
(906) 884-4804
(906) 482-0369
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085690
MI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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