Individual
KRYSTAL FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
486 GRAHAM RD, SOUTH WINDSOR, CT 06074-1407
(860) 329-2508
Mailing address
486 GRAHAM RD, SOUTH WINDSOR, CT 06074-1407
(860) 329-2508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
014253
CT
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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