Individual
JO ANN FRITZ
Active
Individual
JO ANN FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW/C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1920828
UBH
MD
01
—
2020325
CIGNA BEHAVIORAL HEAL
MD
01
—
54160
APS
MD
01
—
573CJA
CAREFIRSTBCBS
MD
01
—
7576225
AETNA
MD
01
—
N111-001
CAREFIRST BCBS
MD
Enumeration date
07/31/2006
Last updated
07/08/2007
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