Individual
MARY DORIS FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 LAWSON CREEK RD, DOUGLAS, AK 99824-5010
(801) 860-4439
Mailing address
2130 LAWSON CREEK RD, DOUGLAS, AK 99824-5010
(801) 860-4439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
802
AK
101YM0800X
Mental Health Counselor
PCOP802
AK
Other
Enumeration date
11/16/2011
Last updated
10/17/2024
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