Individual
SAMANTHA M FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
30 N 4TH ST, 2ND FLOOR, LEBANON, PA 17046-5606
(717) 274-0474
(717) 274-0673
Mailing address
PO BOX 300, LEBANON, PA 17042-0300
(717) 270-7780
(717) 274-9746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130771
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102878967
—
PA
Enumeration date
11/12/2013
Last updated
12/02/2014
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