Individual
MRS. KATIE LYNN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
(989) 835-4290
Mailing address
1030 ELIZABETH ST, MIDLAND, MI 48640-4325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004725
MI
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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