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1396296968
MATTHEW G FORTINO
FORT MYERS, FL
NPI
1396296968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY12541)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-10-19
Last Update Date
2025-01-13
Business Address
Mr. MATTHEW G FORTINO
8960 COLONIAL CENTER DR STE 300
FORT MYERS, FL 33905-7810
Phone number: 239-343-3831
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Mailing Address
Mr. MATTHEW G FORTINO
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9470
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