Individual
MRS. CAROLYN P FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1940 ELMER J BISSELL RD, BIRMINGHAM, AL 35243-2941
(205) 824-4758
Mailing address
1940 ELMER J BISSELL RD, BIRMINGHAM, AL 35243-2941
(205) 824-4758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
914
AL
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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