Individual
SEAN KEVIN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-4341
Mailing address
331 SIJEN AVE BLDG 2032, WHITEMAN AFB, MO 65305-1269
(660) 687-4341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005969
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005969
LICENSE #
MO
Enumeration date
08/26/2005
Last updated
04/12/2018
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