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1194847350
MICHELLE AIMEE FORTIER
IRVINE, CA
NPI
1194847350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CA PSY22312)
Enumeration Date
2007-04-06
Last Update Date
2009-10-08
Business Address
-- MICHELLE AIMEE FORTIER PhD
1 MEDICAL PLAZA DR
IRVINE, CA 92697-0001
Phone number: 949-824-7246
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Mailing Address
-- MICHELLE AIMEE FORTIER PhD
505 S MAIN ST SUITE 940
ORANGE, CA 92868-4509
Phone number: 714-480-0067
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