Individual
PAUL GREGORY FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
671 HOES LN, PISCATAWAY, NJ 08854-5627
(973) 971-5595
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0831
(973) 971-5595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL04580800
NJ
Other
Enumeration date
02/02/2006
Last updated
09/07/2012
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