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1053844019
STEPHANIE S FORTT
ANCHORAGE, AK
NPI
1053844019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AK 1207)
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
-- STEPHANIE S FORTT LCSW
3340 PROVIDENCE DR SUITE A351
ANCHORAGE, AK 99508-4691
Phone number: 907-212-4824
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Mailing Address
-- STEPHANIE S FORTT LCSW
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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