Individual
JENNIFER J FITZWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4265 S A ST, RICHMOND, IN 47374-6049
(765) 962-8843
Mailing address
12166 W NORTH ST, CAMBRIDGE CITY, IN 47327-9400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
34011139A
IN
Other
Enumeration date
04/13/2007
Last updated
06/11/2024
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