Fidler, Lisa Anne

Fidler, Lisa Anne is an individual health care provider with primary practice located at 656 State St , Bangor ME 04401-5609. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fidler, Lisa Anne can be contacted via phone (207) 941-4036.

Contact Information

Primary practice address
656 State St Bangor ME 04401-5609
Phone: (207) 941-4036
Fax: (207) 941-4062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC10439 Maine

Profile Details

NPI number 1184665572
LBN Legal business name Fidler, Lisa Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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