Tara Lee Fitzgerald

NPI 1225369168 - Social Worker - 104100000X

NPI Details
NPI 1225369168
Gender Female
Enumeration Date 01/15/2010
Last Updated 01/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
418 EAST BROADWAY AVE
BISMARCK ND, 58501, US
Phone (701) 224-9611
Fax
Business Location
418 EAST BROADWAY
BISMARCK ND, 58501, US
Phone (701) 224-9611
Fax
Toxanomy
Taxonomy Code 104100000X
License State North Dakota
License Number 4126
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According to our database, Mrs. Tara Lee Fitzgerald NPI is 1225369168, taxonomy code is 104100000X and license number is 4126, license state is located at North Dakota. Tara Lee Fitzgerald physically located at 418 East Broadway Ave, Bismarck ND, 58501. NPI Number Tara Lee Fitzgerald has the Individual type.

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1225369168 NPI number is provided on an as is basis without warranty of any kind. 1225369168 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Lee Fitzgerald are for informational purposes only.