Individual
MELANIE FORTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19871 W FREEMONT RD, BUCKEYE, AZ 85326-9512
(623) 474-6671
(623) 474-6669
Mailing address
19871 W FREEMONT RD, BUCKEYE, AZ 85326-9512
(623) 474-6671
(623) 474-6669
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
3902912
AZ
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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