Individual
MR. PHILIP FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
39 WINDCREST DR, COVINGTON, GA 30016-0902
(347) 543-2266
Mailing address
39 WINDCREST DR, COVINGTON, GA 30016-0902
(347) 543-2266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW005129
GA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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