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1629496179
BRIAN FITZGERALD
WATERFORD, MI
NPI
1629496179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801090625)
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
-- BRIAN FITZGERALD LMSW
279 SUMMIT DR
WATERFORD, MI 48328-3364
Phone number: 248-409-4308
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Mailing Address
-- BRIAN FITZGERALD LMSW
23040 ROSEWOOD ST
OAK PARK, MI 48237-2230
Phone number: 810-772-1954
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