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1750949228
SANDRA ELLEN FORTSON
BRIGHTON, MI
NPI
1750949228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW119466)
Enumeration Date
2019-05-30
Last Update Date
2024-09-05
Business Address
Miss SANDRA ELLEN FORTSON MSW, LCSW
8665 CANDLEWOOD ST APT 8
BRIGHTON, MI 48116-2335
Phone number: 970-239-1599
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Mailing Address
Miss SANDRA ELLEN FORTSON MSW, LCSW
8665 CANDLEWOOD ST APT 8
BRIGHTON, MI 48116-2335
Phone number: 970-239-1599
Copy
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