Individual
KERRY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
100 S BROAD ST STE 2230, PHILADELPHIA, PA 19110-1021
(267) 704-9669
(267) 541-2658
Mailing address
100 S BROAD ST STE 2230, PHILADELPHIA, PA 19110-1021
(267) 704-9669
(267) 541-2658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW136397
PA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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