Individual
MRS. AMY BOISELLE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
524 S BOYLAN AVE, RALEIGH, NC 27603-2130
(919) 645-8324
Mailing address
524 S BOYLAN AVE, RALEIGH, NC 27603-2130
(919) 645-8324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012547
NC
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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