MR. Kenneth David Fitzgerald, LCSW

NPI #1548345168 in Copiague, New York

Provider Information

NPI Number
1548345168
Entity Type
Individual
Name
MR. Kenneth David Fitzgerald, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 25, 2006
Last Updated
Mar 6, 2013

Practice Location

Address
445 OAK ST
ZIP Code
11726-3111
Phone
(631) 691-7080

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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