Individual
MS. TARA FORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
25594 CORTEZ ST, HARRISON TOWNSHIP, MI 48045-2028
(586) 321-3029
(586) 465-2341
Mailing address
25594 CORTEZ ST, HARRISON TOWNSHIP, MI 48045-2028
(586) 321-3029
(586) 465-2341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801082238
MI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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