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1134435043
COURTNEY A FITZGERALD
SHREVEPORT, LA
NPI
1134435043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 1623)
Enumeration Date
2010-08-30
Last Update Date
2017-05-10
Business Address
-- COURTNEY A FITZGERALD LCSW
510 E. STONER AVE. PRIMARY CARE MENTAL HEALTH INTEGRATION
SHREVEPORT, LA 71101
Phone number: 318-221-8411
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Mailing Address
-- COURTNEY A FITZGERALD LCSW
6225 KATHY CIR
SHREVEPORT, LA 71105-4401
Phone number: 210-858-6449
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