Individual
MARIA GORETH FIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6216 E SHEA BLVD, SCOTTSDALE, AZ 85254-5433
(480) 588-8006
(617) 249-0962
Mailing address
6216 E SHEA BLVD, SCOTTSDALE, AZ 85254-5433
(480) 588-8006
(617) 249-0962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12462
AZ
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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