Individual
MS. MARTHA LYNN FITZSIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(571) 623-3529
Mailing address
10242 BRIGADE DR, FAIRFAX, VA 22030-2110
(703) 850-6649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0903002855
VA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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