Individual
ANGIE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 W ELFINDALE ST, SPRINGFIELD, MO 65807-1287
(417) 864-7921
Mailing address
92 E TIMOTHY RIDGE RD, STRAFFORD, MO 65757-7844
(417) 859-5593
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
0072384
MO
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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