Individual
RUTH FITZGERAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 FAIRBURN RD, DOUGLASVILLE, GA 30135-1037
(770) 726-7958
Mailing address
231 GRANDVIEW LN, POWDER SPRINGS, GA 30127-8759
(907) 388-3725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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