Female

Mary Fortman MSW

Clinical Social Worker in Port Townsend, WA(View on Map)

Full Name

Mary Fortman MSW

NPI Number

1154820892

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/08/2018

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

834 SHERIDAN ST
915 SHERIDAN ST STE B103

City

Port Townsend
Port Townsend

State

WA
WA

Postal Code

98368-2443
98368-2931

Country

US
US

Telephone Number

N/A
(360) 385-4848

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/09/2018

Provider Address

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