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Individual

MS. KATHLEEN MARIE FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
202 CONNETQUOT RD, OAKDALE, NY 11769-2146
(631) 563-9085
Mailing address
202 CONNETQUOT RD, OAKDALE, NY 11769-2146
(631) 563-9085

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
055004-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
NY

Other

Enumeration date
08/15/2015
Last updated
01/18/2017
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