Individual
BRIAN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 409-4308
Mailing address
23040 ROSEWOOD ST, OAK PARK, MI 48237-2230
(810) 772-1954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090625
MI
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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