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Individual

BETH J. FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG 60455017
WA
101YM0800X
Mental Health Counselor
Primary
LH60597177
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154719862
WA
Enumeration date
01/05/2015
Last updated
10/27/2015
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