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1710205190
JODI LIN FORTNER
WASHINGTON, MO
NPI
1710205190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2010013715)
Enumeration Date
2010-05-11
Last Update Date
2013-07-11
Business Address
Ms. JODI LIN FORTNER
1323 JASPER LN
WASHINGTON, MO 63090-4148
Phone number: 636-667-9292
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Mailing Address
Ms. JODI LIN FORTNER
1323 JASPER LN
WASHINGTON, MO 63090-4148
Phone number: 636-667-9292
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