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1740526672
KELLY FORTIN
MIDDLEBURY, CT
NPI
1740526672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 2783)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-12-21
Last Update Date
2015-07-22
Business Address
-- KELLY FORTIN MSHS
530 MIDDLEBURY RD SUITE 213B
MIDDLEBURY, CT 06762-2500
Phone number: 203-518-9574
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Mailing Address
-- KELLY FORTIN MSHS
530 MIDDLEBURY RD SUITE 213B
MIDDLEBURY, CT 06762-2500
Phone number: 203-518-9574
Copy
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