Individual
CAITLYNN M FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Contact information
Practice address
9482 WEDGEWOOD BLVD STE 50, POWELL, OH 43065-0268
(614) 347-3982
Mailing address
1404 RACE ST STE 302, CINCINNATI, OH 45202-7366
(513) 381-1531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.13022868
OH
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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