Individual
MS. LISA R FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 JOES BRANCH RD, HURRICANE, WV 25526-6710
(304) 415-9939
Mailing address
324 JOES BRANCH RD, HURRICANE, WV 25526-6710
(304) 415-9939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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