Individual
MS. NANCY E FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
628 CIRCLE DR, ABERDEEN, SD 57401-2615
(605) 225-1010
(605) 725-8057
Mailing address
628 CIRCLE DR, ABERDEEN, SD 57401-2615
(605) 225-1010
(605) 725-8057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1930
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528136298
—
MN
05
—
6571230
—
SD
05
—
6571232
—
SD
01
—
P00347631
RAILROAD MEDICARE
—
Enumeration date
12/01/2006
Last updated
01/11/2011
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