Individual
TABITHA ERIN FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 MATTHEWS RD, SWANZEY, NH 03446-3500
(603) 488-5008
Mailing address
8 12TH ST, BERLIN, NH 03570-3826
(603) 391-1896
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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