Provider Information for 1316273865
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DEBRA BOYDSTON FITZGERALD LPC
Sex: Female
NPI: 1316273865
Last Updated: 2012-04-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1316273865 | ||||||||
| Enumeration Date | 2009-10-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5118 PARK AVENUE SUITE 601 MEMPHIS, TN 38117-5714 United States Phone: 901-489-9921 | Fax:901-881-5428 | ||||||||
| Primary Practice Address | 5118 PARK AVENUE SUITE 601 MEMPHIS, TN 38117-5714 United States Phone: 901-489-9921 | Fax:901-881-5428 | ||||||||
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