Individual
KENNA MARIE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
43 SE MAIN ST STE 226, MINNEAPOLIS, MN 55414-1094
(612) 324-9001
Mailing address
7608 HEARTHSIDE WAY APT 4019, ELKRIDGE, MD 21075-7366
(443) 975-0941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
25319
MD
104100000X
Social Worker
Primary
29763
MN
Other
Enumeration date
05/02/2021
Last updated
05/03/2021
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