Individual
KAITLIN CASEY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
738 CONDON DR, CHARLESTON, SC 29412-4704
(603) 682-0079
Mailing address
738 CONDON DR, CHARLESTON, SC 29412-4704
(603) 682-0079
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3164305
SC
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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