Individual
JEAN MARY FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 OLEANDER DR, WILMINGTON, NC 28403-6843
(910) 679-8385
(910) 679-8387
Mailing address
1217 PRESERVATION WAY UNIT 102, WILMINGTON, NC 28405-4356
(201) 709-0258
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13217
NC
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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