Individual
ANASTASIA GAUEN-FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, SWAA
Contact information
Practice address
1307 S 11TH ST, TACOMA, WA 98405-3644
Mailing address
1307 S 11TH ST, TACOMA, WA 98405-3644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SA61085050
WA
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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