Individual
MS. GLORIA FIDELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 WINDY HILL RD SE APT 2460C, MARIETTA, GA 30067-8560
(877) 418-2978
(866) 500-2186
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
11/22/2021
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