Individual
TIMOTHY LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(240) 200-4066
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(240) 200-4066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPC00728
DC
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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