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Individual

MRS. CHARLOTTE FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2074 BENNOCH RD, OLD TOWN, ME 04468-5610
(207) 356-3054
(207) 817-0197
Mailing address
2074 BENNOCH RD, OLD TOWN, ME 04468-5610
(207) 356-3054
(207) 817-0197

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
05/11/2014
Last updated
12/13/2015
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