Organization
DEBRA B FITZGIBBONS LSWII PC
Active
Other names
Debra B Fitzgibbons LSWII PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA B. FITZGIBBONS LSWII (PRESIDENT)
(303) 443-0089
Entity
Organization
Contact information
Practice address
6676 GUNPARK DR STE E, BOULDER, CO 80301-3352
(303) 443-0089
Mailing address
6676 GUNPARK DR STE E, BOULDER, CO 80301-3352
(303) 443-0089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639378698
ANTHEM
CO
Enumeration date
07/16/2021
Last updated
07/16/2021
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