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Individual

MR. JOSEPH MURRAY FITZGERALD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
200 ORCHARD ST, SUITE 301, NEW HAVEN, CT 06511
(203) 789-0560
(203) 624-9672
Mailing address
200 ORCHARD ST, SUITE 301, NEW HAVEN, CT 06511
(203) 789-0560
(203) 624-9672

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CT003237
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10743114
CAQH
Enumeration date
08/12/2006
Last updated
07/08/2007
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