Individual
LESLEY FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 NE BRAILLE PL, JENSEN BEACH, FL 34957-5345
(772) 320-0770
Mailing address
1601 NE BRAILLE PL, JENSEN BEACH, FL 34957-5345
(772) 320-0770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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