Individual
LARISSA FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 ROSEMONT AVE, FREDERICK, MD 21702-4135
(301) 200-1233
Mailing address
1705 ROSEMONT AVE, FREDERICK, MD 21702-4135
(301) 200-1233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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