Individual
IVY KATE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
3191 ALEX KORNMAN BLVD, HARVEY, LA 70058-2043
(504) 762-8811
Mailing address
822 S CLEARVIEW PKWY, NEW ORLEANS, LA 70123-3401
(504) 736-1800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10188
LA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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