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Individual

MRS. GLENDA FRANCES FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
951 W COLLEGE ST, TROY R-III, TROY, MO 63379-1112
(636) 462-6098
(636) 528-2411
Mailing address
739 GILES RD, TROY, MO 63379-4221
(636) 528-6507
(636) 528-2411

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111521
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
467752002
MO
Enumeration date
03/14/2007
Last updated
02/20/2009
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