BRIAN A FORTIER

TRAVIS AFB, CA
NPI1740377167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC11711)
Enumeration Date2006-10-06
Last Update Date2019-07-23
Business Address
BRIAN A FORTIER LCSW
60MDG 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Phone number: 707-423-5168
Mailing Address
BRIAN A FORTIER LCSW
60MDG 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Phone number: 707-423-5168
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