Individual
BRANDON FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1111 PRAIRIE PKWY, WEST FARGO, ND 58078-3132
(701) 532-0754
(701) 532-0839
Mailing address
1111 PRAIRIE PKWY, WEST FARGO, ND 58078-3132
(701) 532-0754
(701) 532-0839
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5232
ND
171M00000X
Case Manager/Care Coordinator
5232
ND
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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