Individual
CLARA FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11260 RANCH CREEK TER APT 118, BRADENTON, FL 34211-4032
(817) 291-1294
Mailing address
11260 RANCH CREEK TER APT 118, BRADENTON, FL 34211-4032
(817) 291-1294
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1456
FL
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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