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Individual
JENNA T FITZPATRICK
Active
Individual
JENNA T FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
074652-1
NY
1041C0700X
Clinical Social Worker
080606-1
NY
1041C0700X
Clinical Social Worker
Primary
149016148
IL
Other
Enumeration date
10/07/2010
Last updated
05/08/2014
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