Individual
MRS. CHAKATRIA JOHNSON FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5200 PARK AVE STE 202, MEMPHIS, TN 38119-3505
(901) 676-2026
(901) 676-2027
Mailing address
5350 BRECKENWOOD DR, MEMPHIS, TN 38127-2152
(318) 719-0801
(601) 962-7379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8622
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038772
—
TN
Enumeration date
11/10/2023
Last updated
11/10/2023
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