Individual
BRANDI R FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S MAIN ST, LIMA, OH 45804-1500
(216) 376-0992
Mailing address
530 S MAIN ST, LIMA, OH 45804-1500
(216) 376-0992
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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