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1750935300
DAVID MICHAEL FORTIN
OGDENSBURG, NY
NPI
1750935300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 101582-01)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
DAVID MICHAEL FORTIN
221 HAMILTON ST
OGDENSBURG, NY 13669-1707
Phone number: 315-541-3042
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Mailing Address
DAVID MICHAEL FORTIN
221 HAMILTON ST
OGDENSBURG, NY 13669-1707
Phone number: 315-541-3042
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