Individual
MS. STACIE E FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1105 W. PEACHTREE STREET N.E., FAMILIES FIRST, ATLANTA, GA 30309
(404) 853-2811
(404) 685-0204
Mailing address
1105 W. PEACHTREE STREET N.E., FAMILIES FIRST, ATLANTA, GA 30309
(404) 853-2811
(404) 685-0204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
069620-1 R
NY
1041C0700X
Clinical Social Worker
Primary
CSW002696
GA
Other
Enumeration date
09/15/2005
Last updated
01/13/2012
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