Individual
MISS RYAN N FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
(317) 272-0807
Mailing address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
(317) 272-0807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012802A
IN
Other
Enumeration date
08/21/2015
Last updated
08/22/2025
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