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1720284490
LEE ANN FORTSON
CONWAY, AR
NPI
1720284490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 2079-C)
Enumeration Date
2007-06-21
Last Update Date
2015-09-28
Business Address
-- LEE ANN FORTSON LCSW
2215 E OAK ST STE 1
CONWAY, AR 72032-4644
Phone number: 501-336-0511
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Mailing Address
-- LEE ANN FORTSON LCSW
2215 E OAK ST STE 1
CONWAY, AR 72032-4644
Phone number: 501-336-0511
Copy
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