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Individual
KEVIN S FITZGERALD
Active
Individual
KEVIN S FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017255
IL
101YP2500X
Professional Counselor
178.017255
IL
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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