Individual
MRS. KARLY FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
935 CAPITOL LANDING RD, WILLIAMSBURG, VA 23185-4347
(757) 656-4533
Mailing address
220 OLIVINE AVE, APT 302, VIRGINIA BEACH, VA 23462-4492
(828) 550-1025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008053
VA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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