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1881155398
TIMOTHY FITZPATRICK
COLUMBIA, MO
NPI
1881155398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MO 2018045630)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
TIMOTHY FITZPATRICK
601 W NIFONG BLVD STE 1B
COLUMBIA, MO 65203-6804
Phone number: 573-586-3204
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Mailing Address
TIMOTHY FITZPATRICK
2507 LONGVIEW DR
COLUMBIA, MO 65203-7250
Phone number:
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