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1205941820
STEPHANIE MICHELLE FIDGEON
FREDERICKSBURG, VA
NPI
1205941820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0904004517)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- STEPHANIE MICHELLE FIDGEON LCSW
406 CHATHAM SQUARE OFFICE PARK STE 101
FREDERICKSBURG, VA 22405-2585
Phone number: 540-373-9577
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Mailing Address
-- STEPHANIE MICHELLE FIDGEON LCSW
406 CHATHAM SQUARE OFFICE PARK STE 101
FREDERICKSBURG, VA 22405-2585
Phone number: 540-373-9577
Copy
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