Individual
MS. MARCIA FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1300 NE GOLDIE ST, OAK HARBOR, WA 98277-4832
(360) 240-4043
(360) 675-1440
Mailing address
413 E SPRUCE ST, MOUNT VERNON, MOUNT VERNON, WA 98273-2951
(360) 419-0429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60160445
WA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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