Individual
MRS. KRISTY A FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
121 N WASHINGTON ST, GRAND FORKS, ND 58203-3400
(701) 739-5497
Mailing address
121 N WASHINGTON ST, GRAND FORKS, ND 58203-3400
(701) 739-5497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9031
MN
Other
Enumeration date
11/07/2012
Last updated
01/20/2014
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