FELICIA FORTNER

IRVING, TX
NPI1952654006
Entity TypeOrganization
Authorized ContactFELICIA FORTNER
Therapist
972-375-8268
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
(Licence: TX  67702)
Enumeration Date2012-10-25
Last Update Date2012-10-25
Business Address
FELICIA FORTNER
1012 SAN JACINTO DR
IRVING, TX 75063-8221
Phone number: 972-375-8268
Mailing Address
FELICIA FORTNER
1012 SAN JACINTO DR
IRVING, TX 75063-8221
Phone number:
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