Individual
MRS. LINDA S FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
250 N ROCK RD, SUITE 300D, WICHITA, KS 67206-2203
(316) 207-3829
(316) 681-0877
Mailing address
6319 E BROOKVIEW CT, WICHITA, KS 67220-4414
(316) 207-3829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 2406
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70308
BCBS
KS
Enumeration date
05/09/2007
Last updated
11/09/2011
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