Sandra E. Fortson, Lcsw, Llc | |
2625 Redwing Rd Ste 110 Fort Collins CO 80526-2878 | |
(970) 239-1599 | |
Not Available |
Full Name | Sandra E. Fortson, Lcsw, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2625 Redwing Rd Ste 110, Fort Collins, Colorado |
Authorized Official Name and Position | Sandra E Fortson (OWNER) |
Authorized Official Contact | 9702391599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sandra E. Fortson, Lcsw, Llc 1612 W Stuart St Fort Collins CO 80526-1529 Ph: (954) 812-0661 | Sandra E. Fortson, Lcsw, Llc 2625 Redwing Rd Ste 110 Fort Collins CO 80526-2878 Ph: (970) 239-1599 |
NPI Number | 1063178937 |
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Provider Enumeration Date | 11/15/2021 |
Last Update Date | 11/15/2021 |
Certification Date | 11/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063178937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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