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1407347230
TIMOTHY MARTIN FITZGERALD
SAN FRANCISCO, CA
NPI
1407347230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1292140218)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
TIMOTHY MARTIN FITZGERALD
1111 MARKET ST
SAN FRANCISCO, CA 94103-1589
Phone number: 415-863-3883
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Mailing Address
TIMOTHY MARTIN FITZGERALD
1111 MARKET ST
SAN FRANCISCO, CA 94103-1589
Phone number:
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