Individual
HAYLEY GABRIELLE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
Mailing address
216 VAUGHAN STREET, PORTLAND, ME 04102-3204
(207) 662-2221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
04/29/2021
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