Individual
MARY FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
12125 WOODCREST EXECUTIVE DR, SAINT LOUIS, MO 63141-5001
(314) 275-8599
Mailing address
12125 WOODCREST EXECUTIVE DR, SAINT LOUIS, MO 63141-5001
(314) 275-8599
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
00944
MO
Other
Enumeration date
10/29/2007
Last updated
10/30/2007
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