Individual
MS. KELLY JEAN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
132 LAKE LORRAINE DR, SWANSEA, IL 62226-2492
(618) 420-6260
Mailing address
132 LAKE LORRAINE DR, SWANSEA, IL 62226-2492
(618) 420-6260
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2001008061
MO
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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