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Individual

MARY THERESA FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
6060 RIDGE AVE STE 210, PHILADELPHIA, PA 19128-1660
(215) 290-2634
Mailing address
6060 RIDGE AVE STE 210, PHILADELPHIA, PA 19128-1660
(215) 290-2634

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001385
PA

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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