Individual
MRS. DANNIE DENISE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAT
Contact information
Practice address
126 ELK ST, ROCK SPRINGS, WY 82901
(307) 382-6330
Mailing address
126 ELK ST, ROCK SPRINGS, WY 82901
(307) 382-6330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
080
WY
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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