Individual
EDWARD J. FITZPATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
912 BARNETTE ST, FAIRBANKS, AK 99701-4510
(907) 456-4729
(907) 456-4623
Mailing address
PO BOX 71544, FAIRBANKS, AK 99707-1544
(907) 456-4729
(907) 456-4623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AA660
AK
Other
Enumeration date
12/05/2005
Last updated
07/09/2007
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