ELISSA JO FORTNA

DANVILLE, IL
NPI1073611745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.010481)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
Ms. ELISSA JO FORTNA msw
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-5133
Mailing Address
Ms. ELISSA JO FORTNA msw
407 W WHITE ST #8
CHAMPAIGN, IL 61820-4842
Phone number:
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