Individual
SEAN M FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 661-3168
Mailing address
165 LANCASTER ST, PORTLAND, ME 04101-2406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17057
ME
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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