Organization
CAROL G FORTUNE LCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL G FORTUNE LCSW (OWNER)
(352) 638-2264
Entity
Organization
Contact information
Practice address
1522 GOLDEN RIDGE DR, THE VILLAGES, FL 32162-6765
(352) 638-2264
(352) 350-7244
Mailing address
1522 GOLDEN RIDGE DR, THE VILLAGES, FL 32162-6765
(352) 638-2264
(352) 350-7244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
03/04/2019
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