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Individual

MRS. SUSAN JEAN FITZ-PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
508 SW JEFFERSON AVE, CORVALLIS, OR 97333-4603
(541) 207-6267
Mailing address
5541 SW BLUESTEM PL, CORVALLIS, OR 97333-1354
(541) 207-6267

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0545
OR

Other

Enumeration date
09/20/2007
Last updated
09/20/2007
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