# SAMANTHA M FITZPATRICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205266236
- **Gender:** F
- **Credential:** SW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | SW130771 | PA | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 12/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102878967 | — | PA |