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1588212757
RAYMOND SCOTT FORTNER
PLEASANTON, CA
NPI
1588212757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFT29516)
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
RAYMOND SCOTT FORTNER MFT
91 W NEAL ST
PLEASANTON, CA 94566-6635
Phone number: 925-462-4224
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Mailing Address
RAYMOND SCOTT FORTNER MFT
91 W NEAL ST
PLEASANTON, CA 94566-6635
Phone number: 925-462-4224
Copy
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