Individual
LYNN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACDP
Contact information
Practice address
31 N UNION ST, PAWTUCKET, RI 02860-2915
(401) 725-2520
Mailing address
31 N UNION ST, PAWTUCKET, RI 02860-2915
(401) 725-2520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACDP152305
RI
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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