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1720597602
TAWANNA FORTSON
VALLEJO, CA
NPI
1720597602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-09-23
Last Update Date
2022-07-21
Business Address
TAWANNA FORTSON
236 GEORGIA STREET SUITE 101
VALLEJO, CA 94590
Phone number: 510-318-6112
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Mailing Address
TAWANNA FORTSON
236 GEORGIA ST STE 101
VALLEJO, CA 94590-5962
Phone number: 510-318-6112
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