Provider Information for 1386282044
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KIMBERLY ELAINE FITZPATRICK LMHC
Sex: Female
NPI: 1386282044
Last Updated: 2019-12-12
Certification Date: 2019-12-12
Certification Date: 2019-12-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386282044 | ||||||||
| Enumeration Date | 2019-12-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 770 MAGNOLIA AVE PANAMA CITY, FL 32401-2910 United States Phone: 850-319-8298 | Fax: | ||||||||
| Primary Practice Address | 770 MAGNOLIA AVE PANAMA CITY, FL 32401-2910 United States Phone: 850-319-8298 | Fax: | ||||||||
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