Individual
NORMAN FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
49 PAVILION AVE, STE 105, PROVIDENCE, RI 02905-1534
(401) 490-8963
Mailing address
610 TOWER HILL RD, NORTH KINGSTOWN, RI 02852-5627
(401) 294-4473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW00263
RI
Other
Enumeration date
11/20/2014
Last updated
11/21/2014
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