Individual
MARY BETH FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8053
Mailing address
5904 CHASON RIDGE DR APT D, FAYETTEVILLE, NC 28314-4467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590000025
—
AL
Enumeration date
08/11/2011
Last updated
07/14/2026
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