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1285002857
ALEXIS DANIELLE FORTSON
ROSWELL, GA
NPI
1285002857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2015-09-12
Last Update Date
2015-09-12
Business Address
MS. ALEXIS DANIELLE FORTSON
300 COLONIAL CENTER PKWY STE NROSWELL
ROSWELL, GA 30076-4899
Phone number: 954-603-7885
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Mailing Address
MS. ALEXIS DANIELLE FORTSON
1123 BETTY DR
COLUMBUS, GA 31907-3928
Phone number: 706-326-1982
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