ANTHONY FIEDER

MELROSE PARK, IL
NPI1881939353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  36-2709982)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
-- ANTHONY FIEDER
1414 MAIN ST
MELROSE PARK, IL 60160-3902
Phone number: 708-786-8522
Mailing Address
-- ANTHONY FIEDER
1414 MAIN ST
MELROSE PARK, IL 60160-3902
Phone number:
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