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1518995117
LAVONNA JUNE FORTIN
AMARILLO, TX
NPI
1518995117
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Former Name
LAVONNA JUNE GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX 31581)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Mrs. LAVONNA JUNE FORTIN LMSW
6103 W AMARILLO BLVD STE A
AMARILLO, TX 79106-1936
Phone number: 806-355-1559
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Mailing Address
Mrs. LAVONNA JUNE FORTIN LMSW
6103 W AMARILLO BLVD STE A
AMARILLO, TX 79106-1936
Phone number: 806-355-1559
Copy
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