Individual
SETH MICHAEL FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
726 N CECIL ST, MEMPHIS, MO 63555-1900
(660) 988-7002
Mailing address
726 N CECIL ST, MEMPHIS, MO 63555-1900
(660) 988-7002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012020963
MO
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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