MARY THERESE FORTIER

ROSEBURG, OR
NPI1770785552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L2416)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
-- MARY THERESE FORTIER LCSW
230 W BERDINE ST 1813 W. HARVARD, SUITE 230
ROSEBURG, OR 97470-2203
Phone number: 541-440-3715
Mailing Address
-- MARY THERESE FORTIER LCSW
230 W BERDINE ST 1813 W. HARVARD, SUITE 230
ROSEBURG, OR 97470-2203
Phone number: 541-440-3715