Individual
DESTINY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 DAVENPORT AVE, SAGINAW, MI 48602-5616
(989) 890-5066
Mailing address
17435 US HIGHWAY 441 STE 101, MOUNT DORA, FL 32757-6750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801104515
MI
Other
Enumeration date
05/07/2018
Last updated
07/22/2019
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