Individual
JESSICA ANN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
8B KAREN LN, LONDONDERRY, NH 03053-3550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
891
NH
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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