Individual
RASHAWNDA TERAY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 WOODWARD AVE STE 601, DETROIT, MI 48202-3165
(313) 896-1444
Mailing address
7310 WOODWARD AVE STE 601, DETROIT, MI 48202-3165
(313) 896-1444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022289
MI
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144798810
—
MI
Enumeration date
11/11/2018
Last updated
12/06/2022
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