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Contact Information

COURTNEY A FITZGERALD, LCSW
510 E. STONER AVE.
PRIMARY CARE MENTAL HEALTH INTEGRATION
SHREVEPORT, LA71101
 Phone: 318-221-8411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for COURTNEY A FITZGERALD · (Female)

NPI Number 1134435043
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/30/2010
Last updated 05/10/2017 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 1623
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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