Provider Information for 1831701051
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SHERRY LYNN FIDEL LPC
Sex: Female
NPI: 1831701051
Last Updated: 2020-09-23
Certification Date: 2020-09-23
Certification Date: 2020-09-23
Details
| Name | Value | ||||||||||||
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| NPI | 1831701051 | ||||||||||||
| Enumeration Date | 2020-08-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2105 KINGSBURY RD MANSFIELD, TX 76063-5325 United States Phone: 405-503-4049 | Fax: | ||||||||||||
| Primary Practice Address | 609 E MAIN ST STE 126 ARLINGTON, TX 76010-1231 United States Phone: 405-503-4049 | Fax: | ||||||||||||
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