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Individual

MARIA TERESA FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-6059
Mailing address
3912 SE 28TH AVE, PORTLAND, OR 97202-3502
(503) 239-5618

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11223
OR

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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