Individual
CHANA MINA FORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
25900 GREENFIELD RD STE 405, OAK PARK, MI 48237-1267
(248) 592-2300
Mailing address
25900 GREENFIELD RD STE 405, OAK PARK, MI 48237-1267
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851116824
MI
Other
Enumeration date
06/26/2023
Last updated
07/05/2023
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