Individual
MICHELLE IRENE FITZGIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMHP
Contact information
Practice address
20861 S PLZ, ELKHORN, NE 68022-4448
(308) 379-8750
Mailing address
20861 S PLZ, ELKHORN, NE 68022-4448
(308) 379-8750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1510
NE
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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