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1740319060
KATHY LEE FORTNER
MYRTLE BEACH, SC
NPI
1740319060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 4632)
Enumeration Date
2007-03-04
Last Update Date
2020-07-22
Business Address
Ms. KATHY LEE FORTNER Ed.S, LPC
1107 48TH AVE N
MYRTLE BEACH, SC 29577-5443
Phone number: 843-240-9446
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Mailing Address
Ms. KATHY LEE FORTNER Ed.S, LPC
PO BOX 7139
MYRTLE BEACH, SC 29572-0007
Phone number: 843-240-9446
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