| Sandra E. Fortson, Lcsw, Llc | |
|
8665 Candlewood St Apt 8 Brighton MI 48116-2335 | |
| (970) 239-1559 | |
| (970) 449-0429 |
| Full Name | Sandra E. Fortson, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8665 Candlewood St Apt 8, Brighton, Michigan |
| 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 8665 Candlewood St Apt 8 Brighton MI 48116-2335 Ph: (970) 239-1559 | Sandra E. Fortson, Lcsw, Llc 8665 Candlewood St Apt 8 Brighton MI 48116-2335 Ph: (970) 239-1559 |
| NPI Number | 1063178937 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063178937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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