Individual
MICHAELA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
(202) 724-7847
Mailing address
2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50083398
DC
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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