Individual
SUZAN MARIE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8541 E VALLEY CT, JUNEAU, AK 99801-8977
(907) 321-9949
(888) 649-1758
Mailing address
8541 E VALLEY CT, JUNEAU, AK 99801-8977
(907) 321-9949
(888) 649-1758
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CMG54911
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG54911
—
AK
Enumeration date
03/05/2007
Last updated
06/17/2008
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