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Individual
JOHN FITZSIMMONS
Active
Individual
JOHN FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174288
OH
Other
Enumeration date
03/24/2021
Last updated
10/21/2022
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