Individual
KATHLEEN A FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, F196, MINNEAPOLIS, MN 55454-1512
(612) 672-2130
Mailing address
7333 FREMONT AVE S, RICHFIELD, MN 55423-3030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1936
MN
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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