Individual
MICHELLE FIDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
425 N NEW BALLAS RD, SUITE 195, CREVE COEUR, MO 63141-6814
(314) 991-5666
Mailing address
425 N NEW BALLAS RD, SUITE 195, CREVE COEUR, MO 63141-6814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005265
MO
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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