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Individual

MS. DEBORAH VIVIAN FITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LSCSW

Contact information

Practice address
600 W MECHANIC AVE, INDEPENDENCE, MO 64050-1769
(816) 521-5540
(816) 521-5614
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4900
(913) 780-1284

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012018580
MO
1041C0700X
Clinical Social Worker
4166
KS

Other

Enumeration date
10/10/2012
Last updated
10/11/2012
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