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Individual
LARRY FITZPATRICK
Active
Individual
LARRY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20196
NC
101YM0800X
Mental Health Counselor
Primary
A13885
NC
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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