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Individual
MR. PAUL THOMAS FITZGERALD
Active
Individual
MR. PAUL THOMAS FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
100182
NY
1041C0700X
Clinical Social Worker
Primary
090681
NY
Other
Enumeration date
11/12/2020
Last updated
07/27/2023
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