LAURIE VIRGINIA FORTIN

SAN DIEGO, CA
NPI1396876736
Former NameLAURIE VIRGINIA LONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 16699)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- LAURIE VIRGINIA FORTIN LCSW
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5980
Mailing Address
-- LAURIE VIRGINIA FORTIN LCSW
43135 CORTE ALMONTE
TEMECULA, CA 92592-3632
Phone number: 951-303-6794
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