Individual
MRS. JENNIFER ROSE FIEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3525 S 3RD RD, BOZEMAN, MT 59715-6610
(406) 931-0856
Mailing address
1107 W PARK AVE APT C, BELGRADE, MT 59714-3604
(406) 931-0856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-38114
MT
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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