Individual
LEE ANN FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 E OAK ST, STE 1, CONWAY, AR 72032-4644
(501) 336-0511
(501) 336-4037
Mailing address
2215 E OAK ST, STE 1, CONWAY, AR 72032-4644
(501) 336-0511
(501) 336-4037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2079-C
AR
Other
Enumeration date
06/21/2007
Last updated
09/28/2015
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