Organization
DEAR DOULA
Active
Other names
Stateline Birth Keepers
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA M FITZGERALD CD (DOULA)
(701) 870-0734
Entity
Organization
Contact information
Practice address
206 SAINT LOUIS AVE, ROCKFORD, IL 61104-1521
(701) 870-0734
Mailing address
206 SAINT LOUIS AVE, ROCKFORD, IL 61104-1521
(701) 870-0734
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
372500000X
Chore Provider
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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