Search › Georgia › 1041C0700X
Tasha Fortenberry, LCSW
NPI 1750986170 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1828 Summer Ridge Ln
Lawrenceville, GA 30044 - Phone
- (470) 231-8081
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia