Individual
ANDREW FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(586) 469-7629
Mailing address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(586) 469-7629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801099848
MI
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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