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Contact Information

CRYSTAL P FORTIN, LSW
5 COMMERCE DR
SKOWHEGAN, ME04976-4823
 Phone: 207-474-8311
 Fax: 207-474-5148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CRYSTAL P FORTIN · (Female)

NPI # 1013077098
Status Active
Credentials LSW (Licensed Social Workers)
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ME License # LS5978
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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