Organization
EDUCATIONAL AND PSYCHOLOGICAL SERVICES
Active
Organization
EDUCATIONAL AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAROD JOHN FITZGERALD (PHD)
(509) 758-9698
Entity
Organization
Contact information
Practice address
629 6TH ST, CLARKSTON, WA 99403-2010
(509) 758-9698
Mailing address
629 6TH ST, CLARKSTON, WA 99403-2010
(509) 758-9698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LH 00011315
WA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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