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1861466617
DAVID FORTNER
FORT WALTON BEACH, FL
NPI
1861466617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 7790)
Enumeration Date
2006-02-16
Last Update Date
2007-07-08
Business Address
Mr. DAVID FORTNER L.M.H.C.
137 HOSPITAL DR
FORT WALTON BEACH, FL 32548
Phone number: 850-833-7413
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Mailing Address
Mr. DAVID FORTNER L.M.H.C.
137 HOSPITAL DR
FORT WALTON BEACH, FL 32548
Phone number: 850-833-7413
Copy
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