Individual
MRS. TARA LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4126
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/15/2010
Last updated
10/19/2020
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