LAVONNA JUNE FORTIN

AMARILLO, TX
NPI1518995117
Former NameLAVONNA JUNE GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: TX  31581)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
Mrs. LAVONNA JUNE FORTIN LMSW
6103 W AMARILLO BLVD STE A
AMARILLO, TX 79106-1936
Phone number: 806-355-1559
Mailing 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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