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Organization
SAN DIEGO COUNTY
Active
Organization
SAN DIEGO COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FITZGERALD LCSW (CLINICAL SUPERVISOR)
(619) 595-4418
Entity
Organization
Contact information
Practice address
3177 OCEAN VIEW BLVD, SAN DIEGO, CA 92113-1432
(619) 987-2797
Mailing address
8690 AERO DR, SUITE 115-41, SAN DIEGO, CA 92123-1886
(619) 987-2797
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
48542
CA
Other
Enumeration date
03/08/2007
Last updated
08/21/2012
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