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1083176531
DOLORES R FORTSON
CLEVELAND, OH
NPI
1083176531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 163220)
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
DOLORES R FORTSON MSW. CDCA
2532 E 86TH ST
CLEVELAND, OH 44104-2244
Phone number: 216-456-6957
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Mailing Address
DOLORES R FORTSON MSW. CDCA
5104 QUINCY AVE APT 2139
CLEVELAND, OH 44104-1244
Phone number: 216-235-7540
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