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1184665572
LISA ANNE FIDLER
BANGOR, ME
NPI
1184665572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC10439)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
-- LISA ANNE FIDLER LCSW
656 STATE ST
BANGOR, ME 04401-5609
Phone number: 207-941-4036
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Mailing Address
-- LISA ANNE FIDLER LCSW
10 WALTER ST
BANGOR, ME 04401-6232
Phone number: 207-941-4321
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