Individual
ELDORA L FITZSIMMONS
Active
Individual
ELDORA L FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00003384
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003034281
BLUECROSSBLUESHEILD TN
TN
01
—
138M5
BCBS OF NC
NC
01
—
154785
VALUE OPTIONS
NC
01
—
245841
MHN
NC
01
—
245841
MHN
TN
01
—
249179
COMPSYCH
TN
01
—
95920
UNITED BEHAVIORAL HEALTH
NC
01
—
95920
UNITED BEHAVIORAL HEALTH
TN
Enumeration date
11/20/2005
Last updated
01/14/2020
Update your record
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