Individual
CAROLINE ASHLEY FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
35 MARKET ST STE 2, LOWELL, MA 01852-6246
(978) 459-0389
Mailing address
35 MARKET ST STE 2, LOWELL, MA 01852-6246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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