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1104165745
BRITTA FORTSON
JACKSONVILLE, FL
NPI
1104165745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA6131)
Enumeration Date
2013-02-01
Last Update Date
2013-02-01
Business Address
-- BRITTA FORTSON M.A. CCC-SLP
4136 TRIESTE PL
JACKSONVILLE, FL 32244-2325
Phone number: 904-387-0349
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Mailing Address
-- BRITTA FORTSON M.A. CCC-SLP
4136 TRIESTE PL
JACKSONVILLE, FL 32244-2325
Phone number:
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