Individual
DEKLIN T FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FODEN RD, SOUTH PORTLAND, ME 04106-1717
(207) 854-1030
Mailing address
25 BEDFORD ST, PORTLAND, ME 04101-1929
(207) 232-9026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ME
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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