Individual
SUSAN KAY FITZGERALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPCI MS
Contact information
Practice address
3809 S WEST TEMPLE, 1B, SALT LAKE CITY, UT 84115
(801) 268-4454
(801) 268-2176
Mailing address
548 E 8000 S, SANDY, UT 84070
(801) 703-4055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
56661986009
UT
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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