Individual
DEBRA BOYDSTON FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5118 PARK AVENUE, SUITE 601, MEMPHIS, TN 38117-5714
(901) 489-9921
(901) 881-5428
Mailing address
5118 PARK AVENUE, SUITE 601, MEMPHIS, TN 38117-5714
(901) 489-9921
(901) 881-5428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000002502
TN
Other
Enumeration date
10/18/2009
Last updated
04/02/2012
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