Individual
CHRISTINE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7042 CARROLL AVE, TAKOMA PARK, MD 20912-4430
(240) 460-3182
Mailing address
7110 CENTRAL AVE, TAKOMA PARK, MD 20912-6452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03993
MD
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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