Individual
DANIEL FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
251 WESTBROOK RD, ESSEX, CT 06426-1528
(860) 767-1277
Mailing address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
097064
NY
1041C0700X
Clinical Social Worker
Primary
11096
CT
Other
Enumeration date
03/30/2016
Last updated
10/14/2020
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